Our Spanish intake forms are clean, professional and patient-friendly — making them the perfect first impression for your practice!

More importantly, by streamlining all the pertinent patient info you need to collect onto a single sheet of paper, they’ll make both patients and Docs equally happy by focusing only on the most important, well-organized information you need to Lead the Conversation about chiropractic and get more patients on a Care Plan that is right for them!

Key Features:

  • 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!

Information Collected:

  • Previous Birth Experience
  • Conception & Early Pregnancy
  • Current Health Conditions
  • Birth Plan
  • Post-Birth Plan

Additional information

Pack Size



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