Forms for Chiropractic Care

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.

Download and Complete the following 2 forms:

1st Visit Health History form

MFC Financial Policies

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If automobile accident, work injury, or personal injury … download, print and fill out the following form
Personal Injury / Accident Questionnaire

If it’s your 1st visit at our office, along with this form,
complete the above 2 forms and bring to your initial office visit.

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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.

Margaret C

"My Whole Health Life Line" That is what I call my treatments with Dr. Stern.

Stephen Stern, DC | Millis Family Chiropractic

2016-10-01T15:24:00+00:00

"My Whole Health Life Line" That is what I call my treatments with Dr. Stern.

http://millisfamilychiropractic.com/testimonials/margaret-c/

Linda C

Dr. Stern’s gentle approach and his ability to intuitively sense what my body needed was a major part of my...

Stephen Stern, DC | Millis Family Chiropractic

2016-10-13T00:08:59+00:00

Dr. Stern’s gentle approach and his ability to intuitively sense what my body needed was a major part of my improvement

http://millisfamilychiropractic.com/testimonials/linda-c/

Donna D

I have been a patient of Dr. Stern's for many years. Whether it is your first time getting adjusted or...

Stephen Stern, DC | Millis Family Chiropractic

2016-10-01T15:24:28+00:00

I have been a patient of Dr. Stern's for many years. Whether it is your first time getting adjusted or you are a veteran patient, Dr. Stern takes the time to really listen to your concerns. His adjustments, though seemingly subtle, benefit the body greatly. I encourage you to make an appointment with Dr. Stern. Your body will thank you.

http://millisfamilychiropractic.com/testimonials/donna-d/

Siri K

What makes this office stand out, is the gentle adjustments done in a community room, lending a longer and relaxed...

Stephen Stern, DC | Millis Family Chiropractic

2016-10-13T00:12:37+00:00

What makes this office stand out, is the gentle adjustments done in a community room, lending a longer and relaxed session. I always feel uplifted and tranquil upon exiting. The impact that these gentle souls have had on our lives and family has been profound.

http://millisfamilychiropractic.com/testimonials/siri-k/

Lori M

I have been amazed what a difference his technique has made. Both my physical and mental being has greatly improved.

Stephen Stern, DC | Millis Family Chiropractic

2016-10-01T15:25:17+00:00

I have been amazed what a difference his technique has made. Both my physical and mental being has greatly improved.

http://millisfamilychiropractic.com/testimonials/lori-m/

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Stephen Stern, DC | Millis Family Chiropractic