New Patient Forms

Welcome to Hampton Chiropractic. We’re glad to have you as a new patient!

As with any medical office, we do require new patients to fill out some initial paperwork to help the Doctor get a better understanding of what’s going on and more insight into your medical background. We also understand that this paperwork can add minutes to your appointment time, so for your convenience we have provided those forms on this page.

Prior to your first visit, you may print these forms off and bring them in with you.

If you have any questions regarding any of these forms, please don’t hesitate to give us a call and we’d be happy to answer any questions, our office phone number is (816) 535-5101. We’ll see you soon!

New Patient Form

If you are either a Medicare patient or an Auto Accident patient, we also do ask that you fill out either of these forms, as necessary and bring with you on your first visit.

Additional Medicare Form

Additional Auto Accident Form