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Online Forms

Please use the following links to print and fill out our insurance coverage and patient health history forms. Contact us or Click here to email us your questions!


New Practice Member Paperwork

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New Medicare Practice Member Intake Forms

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New Pediatric Practice Member Paperwork

(Under 2 years of age only)

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Symptom Survey Form for Nutritional Analysis

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Massage Therapy Forms

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 Neurofeedback Forms

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Personal Injury Forms – Adult

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Personal Injury Forms – Child

(Under 2 years of age only)

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HIPAA Forms

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Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


Synergy Wellness | (520) 818-8857

Providing Quality Chiropractic and Wellness Care to people in Tucson, Vail, Marana and Oro Valley, AZ