Lakota Wellness offers our patient 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.
New Patient Chiropractic Form
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
New Patient Natural Medicine Form
Please fill out this form if you are seeing Dr. Elyse for natural care medicine.
New Patient Acupuncture Form
Please fill out this form if you are seeing Dr. Elyse for Acupuncture
New Patient PIP Form
Please fill out this form if you are seeing Dr. Elyse for a Personal Injury Case.