New Patient Forms

Click on the links below to download our "New Patient" forms. Please fill these forms out completely and bring them with you on your first visit.

Please Note:

It is important that you download and fill out all four (4) sets of forms and bring them to your first office visit. This will help speed up your first visit and allow us to provide you with the utmost attention when you come for your appointment.

New Patient Forms - Needed for 1st visit
HIPAA Form - Needed for 1st visit
Fee Schedule and Financial Policy - Needed for 1st visit
Informed Consent - Needed for 1st visit

NRT Forms
Dynamic Exam - Not needed for first time patients
Spinal Imaging Release
Photo Consent Form - Please print out and turn in with your testimonial

Contact Us

1580 King Ave. | Columbus, OH 43212
Phone - 614.488.6820
Fax - 614.488.6830
Email - team@awcchiropractic.com

Hours & Location

Monday, Wednesday & Thursday
8:30am to 1:00pm & 3:00pm to 6:00pm

Tuesdays 8:30am to 12:00pm

New Patient Orientations
Mondays at 6:15pm

Map - Click here for a map to AWC


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