New Patients
Patient Paperwork
Complete your forms online before your visit so you can spend less time in the waiting room and more time on your care.
Before Your First Visit
Complete Your Forms Online
All of our intake paperwork is 100% electronic — no printing, no scanning, and no clipboards. Simply select the form that applies to you and fill it out from any device at your convenience.
New Patient Intake
For adult patients visiting our clinic for the first time. Covers your health history, current symptoms, and contact information.
Prenatal Intake
For expecting mothers seeking prenatal chiropractic care, including Webster Technique. Covers pregnancy-specific health details.
Pediatric Health
For children and infants. A parent or guardian will fill this out with your child's health history and developmental details.
Auto Accident History
For patients seeking care after an automobile accident. Covers accident details, injuries sustained, and insurance information.
Each form opens in our secure patient portal — just select the one that applies to you
Simple & Convenient
How It Works
Fill Out Your Forms
Click the button above to access our secure online forms. Complete them from your phone, tablet, or computer at your own pace.
Schedule Your Visit
If you haven't already, book your first appointment online or give us a call at (904) 644-8100.
Walk In Ready
Arrive at your appointment knowing your paperwork is already done. No early arrival needed — just check in and we'll take it from there.
Be Prepared
What to Bring
To make your first visit as smooth as possible, please have the following ready:
Photo ID
Driver's license or government-issued identification
Insurance Card
If you plan to use insurance for your visits
Recent Imaging (If Applicable)
Any X-rays or imaging from the past 6 months related to your area of pain
List of Medications
Current medications, supplements, or vitamins you're taking
Comfortable Clothing
Wear something you can move freely in for your evaluation
Common Questions
New Patient FAQs
Not necessarily — it depends on your situation. Dr. Chitra determines whether imaging is needed based on her exam and your health history during your first visit. If you already have X-rays or other imaging from the past six months related to your area of pain, please bring them in so she can review them.
Your first visit includes a thorough consultation and evaluation. Dr. Chitra takes her time to understand your health history, review your X-rays, and discuss your goals — so please plan accordingly. Completing your paperwork online beforehand helps save time.
Please contact our office at (904) 644-8100 to verify your specific insurance coverage. We're happy to help you understand your benefits before your first visit.
We strongly encourage completing your forms online before your visit. It saves time and allows Dr. Chitra to review your information ahead of your appointment. If you have difficulty with the online forms, please call us and we'll be happy to assist.
Ready to Get Started?
Two Steps to Your First Visit
Complete your paperwork and book your appointment — then leave the rest to us.