New Patient Forms


View & Download our New Patient Forms in the convenience of your home or office before your first appointment with Glow Health & Vitality. Family health care for all ages.Get Started with Glow Health & Vitality!

Glow Health & Vitality offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
    New Patient Forms

    Acupuncture & Reflexology Form
    Massage Form
    Chiropractic: Pediatric Form
    Chiropractic: Youth Form
    Chiropractic: Adult Form

    Important: Please note that some of our new patient forms are quite comprehensive and can take some time to fill out. We do recommend you download them at home or work prior to your appointment day and complete them. If this is not possible they are always available to fill out at the clinic; we ask that you arrive at least 20 minutes prior to your appointment time if you need to fill them out in office.