New Patient Health History Form
La Ruffa Chiropractic & Sports Rehab offers our patient forms online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary forms, print them out, and fill in the required information.
- You may bring them with you to your appointment or email/fax us the completed forms.
This informs us of the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your health.
Notice of Privacy Practices
Please review the privacy practices of our office so that you know how your health information is protected and how it can be used.
Download & Print Form