New Patient Paperwork

The following are registration forms and disclosures which are normally given upon the first visit to Coastal Integrative Health. If you have recently made an appointment at our office and were asked to download a registration form to fill out, you are in the right place! Please give us a call if you are unsure of which forms you need to download, or if you have questions about one of the forms.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

Chiropractic Care Forms

Physical Therapy Forms

Attention UHC Insurance Members

The following forms are required by United Healthcare Insurance for authorization for care.