Patient Forms

New Patient Online Form

This intake form will allow us to understand your health history. Please fill it out no later than 24 hours prior to your first visit.

Pediatric Paperwork (Ages 0-12)

This intake form will allow us to understand the health history of your child. *Please fill out this form and e-mail it to frontdesk@watermanchiro.com or print it out and bring it into the office. Depending on the age of your child the Doctor may have you schedule a phone consultation.

Functional Nutrition (with Gerald Roliz)

This intake form will allow us to understand your nutritional history and how we can best help you. *Please fill out this form and e-mail it to frontdesk@watermanchiro.com or print it out and bring it into the office.