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.

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.

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

 

New Chiropractic Patient Paperwork (Scroll down for massage and laser)

 

New CHIROPRACTIC Patient Paperwork

For your convenience, we offer the new patient intake forms in 2 formats.

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

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 Patient Form

 

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