Bauer Chiropractic & Muscle Therapy offers our patient form(s) online so they can be completed in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Online Registration: the form is filled out and sent back to us online. Click on the first link below to go to this form. You may print it out when finished.
  
• To print all required forms and fill out by hand, select each of the following: Patient Health History, Informed Consent, Notice of Privacy, & Office Financial Policy. These first 4 forms listed are required. Fax us your printed and completed form(s) to (608)742-2235 or bring them with you to your first appointment.

Online Registration (form is filled out & sent online)

https://www.mychirotouch.com/patientintake/?clientid=BCMT0001

Patient Health History (Printable)

Download & Print Form

Informed Consent Form

Download & Print Form

Notice of Privacy Form

Download & Print Form

Office Financial Policy Form

Download & Print Form

Pediatric Intake Form

Member Wellness Registration Form

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!