At Conscious Sol Healing & Wellness Center, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

CHIROPRACTIC / BODYWORK:

  • For chiropractic / body work appointments, please call the office to set up your private appointment and fill out our “Chiropractic Health History Form” below and attach in an email (for a quicker appointment) or bring to office. You can email forms to: Jodi@ConsciousSol.com and someone will contact you to set a special new client appointment (allow 1-1.5 hours).

WELLNESS COACHING / PERSONALIZED NUTRITION:

  • First, download the “Personal Wellness & Health History Form” below so I can get to know you and where to focus the session.
  • Next, email, fax or scan it over to me with best time and day.
  • Then, set up your special 15 minute FREE appointment time by clicking the red box in the “Sessions” section.
  • Last, submit payment for final confirmation or make payment via phone or in person.

Forms to download for Chiropractic, Wellness Coaching and Education HERE:


Chiropractic New Client Forms & Handouts:

Health History Form (ADULT)

Download File

Health History Form (CHILD)

Download File

Why Children need Chiropractic

Download File

Personal Wellness & Nutrition Consult Forms:

Wellness History & Coaching Form

Download File

Nutritional Food/Drink Log

Download File

Wellness Information & Handouts:

BioLumina Full Spectrum Sheet

Download File

Vitamin D Info Sheet

Download File

Non-GMO Shopping Guide

Download File