Patient Paperwork

Lyon County Chiropractic

We'll Make Your Experience Hassle-Free

Rely on Lyon County Chiropractic to take care of all your insurance and payment requirements. We accept most insurance companies. Payment is due at the time of service unless prior arrangements have been made.

Below is the list of forms you need to fill out and bring with you during your first visit. If you are experiencing neck pain or low back pain, please also fill out the appropriate questionnaire listed under "Additional Forms".

New Patient Forms:

• New Patient Paperwork
• New Patient Paperwork - 3 and Up
• New Patient Paperwork - 2 and Under

Additional Forms:

• DOT Paperwork
• DOT Checklist
• Sports Physical Form

Injury Forms:

• Workers' Compensation Form
  
• Auto Accident Form

Contact us today to schedule an appointment.