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. Having your paperwork completed fully, to the best of your ability, is incredibly important for you and your practitioner. It is what gives your practitioner the best information about you and your health and your goals. Some information may not seem necessary to you but it is vital for your practitioner and has been included on your intake form for this very reason. We want to have the best picture of your health possible so we can deliver you the best care possible.

New Patient Forms

Acupuncture & Reflexology Form

Massage Form

Chiropractic: Adult Form
Chiropractic: Youth (age 7-17) Form
Chiropractic: Pediatric (age 0-6) Form

(Fillable PDF forms require PDF friendly software. If you do not already have AdobeReader® installed, Click Here to download.)

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.