Patient Forms for Kline Chiropractic & Wellness
At Kline Chiropractic & Wellness, we make the new patient process as smooth and stress-free as possible. Our patient intake forms are available online so you can complete them from the comfort of your home or office before your visit. Simply download, print, and bring your completed forms with you — or fax them to us ahead of your appointment.
Patient Intake Form — Download & Print Form
HIPAA Form — Download & Print Form
If you do not have AdobeReader® installed on your computer, Click Here To Download.
Why Complete Your Forms Ahead of Time?
Completing your paperwork before your first visit helps Dr. Kline get a full picture of your health history right away — which means less time filling out forms in the office and more time focused on your care. The intake form covers your medical history, current concerns, and health habits, allowing Dr. Kline to prepare a thorough and personalized examination plan before you even sit down together.
What to Expect at Your First Visit
Once your forms are submitted, you’re all set. When you arrive at Kline Chiropractic & Wellness, a friendly team member will be ready to welcome you. Your first visit includes a comprehensive consultation with Dr. Kline, a full physical examination, a review of her findings, and your first chiropractic adjustment. Learn more about what to expect on our New Patients page.
Questions? We’re Here to Help
If you have any questions about your upcoming appointment, our forms, or what to bring, don’t hesitate to reach out. Call Kline Chiropractic & Wellness in Woodbridge, VA at (703) 680-4344 or request an appointment online. We look forward to welcoming you to our practice.
Frequently Asked Questions About Patient Forms
Where can I find the patient intake forms for Kline Chiropractic & Wellness?
You can download our Patient Intake Form and HIPAA Form directly from this page. Both are available as printable PDFs. If you need AdobeReader® to open them, a free download link is also available above.
Do I have to complete the forms online, or can I fill them out in the office?
Both options are available. We encourage you to complete the forms in advance to save time and help Dr. Kline prepare for your visit. However, if you prefer, you’re welcome to arrive a few minutes early and fill them out at the office.
Can I fax my completed forms to the office?
Yes. If you’d prefer not to bring physical copies, you may fax your completed forms to our office ahead of your appointment. Call us at (703) 680-4344 to get the fax number and confirm receipt.
What information is on the patient intake form?
The intake form collects your personal and contact information, insurance details, medical history, current health complaints, and health habits. This gives Dr. Kline the full picture she needs to provide thorough, personalized care from your very first visit.
Is there a HIPAA form I need to complete as a new patient?
Yes. All new patients are asked to complete our HIPAA form, which outlines how your health information is used and protected. You can download and print it from this page along with the intake form.
What happens after I submit my forms?
Once your forms are complete, you’re all set for your appointment. Visit our New Patients page for a full overview of what to expect at your first visit, including information about your examination, Dr. Kline’s findings review, and your first adjustment.
Do you offer any other payment options for new patients?
Yes. Kline Chiropractic & Wellness is in-network with most major insurance plans and also offers cash payment plans and flexible financing options. Contact us at (703) 680-4344 to discuss your coverage before your visit.