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maxine cappel mayreis dc offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

For all new patients, please click on the NEW PATIENT form below, print and answer all the questions.
 
New Patient Form


For work related accidents, please click on the WORKERS' COMP form below, print and answer all the questions (in addition to the NEW PATIENT form above)

Workers' Comp Form 1


For automobile related accidents, please click on the NO-FAULT form below, print and answer all the questions (in addition to the NEW PATIENT form above)

No-Fault



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