Online Forms

DREAM Wellness offers our entrance form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment/class.

New Member (Adult) Intake Form:

Everyone of the age of 16 or older (services and/or classes)

Download & Print Form

Child Health History Form:

Everyone of the age of 15 or younger (services and/or classes)

Download & Print Form

Terms of Acceptance Form:

Chiropractic and/or Massage Practice Members only

Download & Print Form

Notice of Privacy Form (HIPPA Requirement):

Anyone receiving any service (classes not included)

Download & Print Form

Open Adjusting Authorization Form:

Chiropractic Practice Members only

Download & Print Form

DREAM Wheel

Everyone!

Download & Print Form

24 Hour Cancellation Policy Form:

EVERYONE!

Download & Print Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!