Online Form

OptiLux Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive at our chiropractic office.

New Patient Health History Form

This lets us know the history and current state of your health. Please choose one of the first seven forms depending on your injury or condition and fill out prior to your visit with us. What questions, concerns, goals, regarding injury and wellness can we help you with? Let us know.

Patient Intake Form
Fill Out & Submit