Teresa Yin, D.C. | Chiropractor, Industrial Medical Examiner, Qualified Medical Evaluator
To save time, you may print these forms, complete them before your appointment, and bring them with you.
Patient Registration Form
Initial Problem Report
Patient Health History
Notice of Confidentiality and Privacy Practices
Informed Consent for Chiropractic Treatment and Care
Privacy Practices Acknowledgement
Consent for Use and Disclosure of Health Information
Our Policies
Patient Forms
