Tucson, AZ

Forms

For your convenience and to save time in our office during your first visit, you can download a case history form in advance. Please complete the form appropriate for your type of payment. Forms are available in .pdf format – you will need Adobe Reader to open these files.

Orange Grove Application For Care

Personal Injury or Work Comp Questionnaire

Pediatric Form

Transfer of Care

If you have recently relocated to the Tucson area and have received prior Chiropractic treatment, we can assist in an easy transfer of care. We will contact your previous Chiropractor directly to obtain records, x-rays, and discuss the method of treatment that worked for you. In accordance with HIPAA laws, we will need a signed release from you and the doctor’s address and phone number. Please call with your questions.