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Thanks for choosing NHIC!

New Patient Paperwork

Please fill out the appropriate paperwork listed below. 
We take insurance, call us now for a free benefits check!

Chiropractic, Acupuncture or Re-Activation

New Patient or Reactivation:
*Online Paperwork

Please bring your insurance card with to your appointment or e-mail a picture of the front and back to [email protected]

Cupping

Current Patient Cupping:
*Cupping Intake

New Patient Cupping:
*Cupping Intake
*Online Paperwork

Nutrition Response Testing Paperwork

Current Patient of Dr. Pratt's:
*NRT Paperwork
*Food Log (3 Days prior to appointment)

Current Patient with another Doctor in office, but New Patient of Dr. Pratt's:
*NRT Paperwork
*Food Log (3 Days prior to appointment)

New Patient to office:
*NRT Paperwork
*Online Paperwork
*Food Log (3 Days prior to appointment)

Motor Vehicle Accident Paperwork

Current Patient:
*MVA Paperwork

New Patient:
*MVA Paperwork
*Online Paperwork

HIPAA Privacy Notice

HIPAA requires healthcare providers to provide a downloadable copy of our HIPAA Privacy Notice. Click below to download.

HIPAA Privacy Notice Download

Business hours

  • Monday - Friday

    09:00 am – 05:00 pm

  • Saturday

    Appointments only

  • Sunday

    Closed