New Patient Paperwork

At Rodgers Chiropractic, we believe in convenience and communication. We offer our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Please wear loose-fitting clothing/work out clothes, preferably no jeans or dresses.

Please also bring any X-rays, MRIs (films and reports), pain diagrams or liens

If you are dealing with an injury or have pain, please track your pain by intensity, frequency & duration.  Bring the information to your next visit.

Note that patients may experience some initial discomfort after their first visit.

There are 6 Required Forms To Be completed


8:00am - 12:00pm
3:00pm - 6:00pm

8:00am - 1:00pm
3:00pm - 6:00pm

8:00am - 12:00pm
3:00pm - 6:00pm

8:00am - 1:00pm
3:00pm - 6:00pm

8:00am - 12:00pm

By Appointment

Rodgers Chiropractic
2954 State Highway 32 Suite 500
Chico, CA 95973
(530) 343-9826