Please feel free to print and fill out applicable forms before your visit to Millis Family Chiropractic.
If you are unable to print and complete forms prior to your appointment,
please arrive 15 minutes earlier than your scheduled time to complete all paperwork.

1st Visit Health History form

MFC Financial Policies


If automobile accident, work injury, or personal injury … download, print and fill out the following form and bring to your visit along with First Visit – Health History Form.
Personal Injury / Accident Questionnaire


To find out if your insurance will pay for services in our office,
call your insurance company and use the Insurance Verification form for guidance.
Insurance Verification Form

Or, when you come for your 1st visit, bring your insurance card and we will verify coverage.