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Online Forms

Varai Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

Please fill out these forms so we can expedite your first visit, all forms must be filled out completely

Click to Fill Out Online


Nutrition Patients

- Daily Food Intake Forms (1) (2)
Substance Survey
Symptom Survey


Fitness Patients

Data Collection



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