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Patient History and Registration Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:

  1. Open the attachment and download to your computer.  Save the file with your first name and last initial.
  2. Close your browser and open the pdf file with Adobe Acrobat (not in your internet browser).
  3. Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.  Free AdobeReader®Get adobe reader
  4. Complete the questions
  5. Save the file to your computer
  6. Email and attach the form to ashley@brightfuturesfamilychiro.com 48 hours before your first visit.

Please make sure you have the most current version of Adobe Reader in order to fill-in/email the forms. If you are having any issues with the paperwork, please give us a call 513-792-9111, we will be happy to help! If you do not have the ability to email the forms, you can also fax them to us 513-791-1351. If neither is an option you can print the forms and fill them out by hand.  If this option is chosen, PLEASE ARRIVE AT YOUR NEW PATIENT EXAMINATION WITH YOUR COMPLETED PAPERWORK 20 MINUTES BEFORE THE APPOINTMENT TIME to allow Dr. Stephanie time to review them.

Adult New Patient Forms

Adult New Patient Forms


Pregnancy New Patient Forms

Please complete this form along with Adult Case History if applicable.
Pregnancy New Patient Forms


Pediatric New Patient Forms

Pediatric New Patient Forms