New Patient Info



Thank you for making an appointment with us.

If you need to cancel or reschedule your appointment, you may do so by giving us a call at 480-839-2273.

NOTE: Please be aware that our cancellation policy charge is for the full price of the visit if less than 24 hours notice is given.  If you have a Groupon for a service, your voucher will be redeemed in the event of a no-show or a cancellation within 24 hours.

How to Find Us?

Lifecare Chiropractic is conveniently located just off the Superstition Freeway (Highway 60) and Alma School in Mesa, Arizona.

Map to our Location

We look forward to seeing you at the clinic.

 

New Patient Paperwork

Please print, fill out and sign the appropriate paperwork and bring it with you to your appointment.

 

New CHIROPRACTIC Patient Paperwork

We offer an Interactive New Patient Form. Please complete the highlighted regions with your computer, then, print out the form.  Some areas are not imputable so please review the forms after you have printed them. Then, sign the form and bring it with you to your first visit.

Interactive New Patient Form

Interactive New Patient Forms for car accidents

For Internet users with slower Internet connections, the Quick Download New Patient Form link will provide you with the patient intake form. Please print out the form, fill it in with your information, sign the form, and bring it with you to your first visit.

Quick Download New Patient Form

Quick Download New Patient forms for car accidents

 

New MASSAGE Patient Paperwork

The Quick Download New Patient Form link will provide you with the patient intake form for massage. Please print out the form, fill in with your information, sign the form and bring it with you to your first visit.

Download New Massage Patient Form

 

New LASER Patient Paperwork

For Internet users with slower Internet connections, the Quick Download New Patient Form link will provide you with the patient intake form. Please print out the form, fill in with your information, sign the form and bring it with you to your first visit.

Download New Laser Patient Form

New Hyperbaric Patient Paperwork

Thank you for selecting our hyperbaric team! We will strive to provide you with the best possible service. To help us meet all of your needs, please fill out this form completely in ink and bring it with you to your first visit.

Download New Hyperbaric Patient Form

 

New REGENERATIVE (Stem cell, PRP) Patient Paperwork

Please read through the information about your procedure beforehand to save time in the office. Click the link below to download the form. Please sign the document and bring it with you to your appointment.

Regenerative Pre-Procedure Instruction Form

PRP Procedure Form

Stem Cell Procedure Form

Aftercare Instructions Document