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New Patients/New Patient Forms

New Patient Forms

Save time during your first visit, complete your paperwork from home.

We offer our new patient paperwork online so you can fill it out from the comfort of your own home before your appointment, no need to arrive early just to complete forms in our waiting room.

If you’re not able to complete these beforehand, that’s okay too, just plan to arrive a few minutes early so we can get them filled out together.

Adult New Patient Forms

Complete this form if you’re a new adult patient at Bence Chiropractic Wellness Center.

Download PDF

Pediatric New Patient Forms

Complete this form if your child is a new patient with us.

Download PDF

Questions About Your Paperwork?

If anything on the forms isn’t clear, just give us a call, we’re happy to walk through it with you.

Call (586) 978-9900 Request an Appointment

New to Bence Chiropractic and want to ask a few questions first? Walk-ins are always welcome.

What Our Patients Are Saying

Nothing is more rewarding than knowing we’ve helped our patients live healthier, happier lives. We invite you to read what individuals and families throughout Macomb and the surrounding communities have shared about their experience at Bence Chiropractic Wellness Center.