Patient Information and Downloads

If you are coming in for your first visit you can save time by clicking on the link below to print the patient intake form. Fill them out and bring them to your first appointment.  To safeguard your security and privacy, please do not email your completed forms and only bring them with you at the time of your visit. If  you wait to fill out patient forms at the time of your appointment, we request you to arrive 15 minutes prior to your appointment to fill out the appropriate patient forms.

If there is any important information that is not covered in the questionnaire, please bring it to the attention of the doctor. Thank you!

• Patient intake form (PDF) 

List of things to bring with you for your first appointment:

• Patient Intake Form
• Proper Identification
• Proof Of Insurance
• All Claim #’s (If Applicable)
• Other Doctor Injury Reports (If Applicable)
• Other Accident Reports (If Applicable)
• Attorney Information (If Applicable)

Privacy Policy

Your privacy is important to us. Any information you submit to Mayer Chiropractor Clinic will only be used to process your inquiry. Mayer Chiropractor Clinic does not share, rent or sell data collected from you to any other party or vendors.