Janet L. Rueger, DC offers patient forms online so they can be completed in the convenience of your own home or office.

  • If you do not already have Adobe Reader installed on your computer, Click Here to download.
  • Download the necessary forms, print them out and fill in the required information.
  • It is fine to print all forms with black ink.
  • Please bring the completed forms with you to your appointment.

 

New Patient Health History Form and Patient Information Form  – Required

These let us know the history and current state of your health, and your contact information. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & print Health History Form           Download & print Patient Information Form


 

Member Wellness Registration Form – Optional

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. Print it out and bring it in to our office. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form