New Patient Paperwork

Rodgers Chiropractic offers 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 - 12:00pm
3:00pm - 6:00pm

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

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

8:00am - 12:00pm

By Appt.

Rodgers Chiropractic
2954 CA-32 #500
Chico, CA 95973
(530) 343-9826