Part of the FIRST IMPRESSIONS PRO product series, these Pediatric Intake Forms feature the following sections to ensure you have all the patient info you need. Nothing more. Nothing less. After all, you only get one chance to make a professional first impression!

Pediatric Intake Forms include:

  • Confidential Patient Information
  • Current Health Conditions
  • Health Goals for Your Child
  • Pregnancy & Fertility History
  • Labor & Delivery History
  • Growth & Development History
  • Acknowledgment & Consent
  • Customized content area for your practice info

Key Features of all First Impressions Pro Forms:

  • Collects only the most pertinent patient information, making them faster and easier for patients to complete.
  • Organization and layout of information makes them more functional and efficient for chiropractors to find the info they need to recommend proper care.
  • Clean and modern designs – customized with your contact info make them perfect for any practice!

Additional information

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