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New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.

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New Patient Paperwork

We ask that all new patients print and complete the paperwork below.

pdf iconConfidential Patient Information Form

pdf iconInsurance Verification

pdf iconInformed Consent


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Get adobe readerEach 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.

Mueller Chiropractic is here to help you, and provide you quality chiropractic treatment in Louisville, KY.