New Patient Paperwork

Smithfield Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

Welcome Form

Health Intake Form

Consent Privacy Form

OFFICE HOURS


Monday
8:00am - 6:00pm


Tuesday
9:00am - 5:00pm


Wednesday
8:00am - 6:00pm


Thursday
9:00am - 6:00pm


Friday
8:00am - 5:00pm


Saturday
10:00am - 12:00pm

Smithfield Chiropractic
1177 South Main Street
Smithfield, UT 84335
(435) 563-6887