{"id":438,"date":"2021-03-18T11:29:56","date_gmt":"2021-03-18T19:29:56","guid":{"rendered":"http:\/\/172.16.20.5\/?page_id=438"},"modified":"2025-05-21T08:04:21","modified_gmt":"2025-05-21T16:04:21","slug":"services-4","status":"publish","type":"page","link":"https:\/\/www.summitwestlinn.com\/?page_id=438","title":{"rendered":"Online Forms"},"content":{"rendered":"\t\t
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Online forms<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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We offer our paperwork online so you can complete it in the convenience of your own home.<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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New Patient Forms<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If you are new to us or haven’t seen us in more than three years, click on the link below to download our new patient forms. This lets us know what\u2019s happened, your health history, but perhaps more importantly, where do you want to take your health?<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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*Note: If you are a new patient coming to us as a result of a car accident, please see the new patient forms under the “Automobile Accident” section below.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Automobile Accident<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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If your health issue is the result of a car accident, we need some additional information.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t<\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\tNew Patient - Automobile Accident<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Click on the above link if you are a new patient AND are coming to us as a result of a car accident.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Click on the above “Established Patients” link if you are already a patient of ours and have recently been in a car accident.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Privacy Policy<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Your privacy is our priority. We encourage all patients to review our Privacy Policy and HIPAA information to understand how we protect your personal health information. You can access this document by clicking on the link below or request a copy at our office. If you have any questions or concerns, please don\u2019t hesitate to contact us.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Questions? Reach out to us and we'll be happy to help<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\tContact<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Online forms We offer our paperwork online so you can complete it in the convenience of your own home. New Patient Forms If you are new to us or haven’t seen us in more than three years, click on the link below to download our new patient forms. This lets us know what\u2019s happened, your …<\/p>\n

Online Forms<\/span> Read More »<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"enabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-438","page","type-page","status-publish","hentry"],"yoast_head":"\nOnline Forms - Summit Chiropractic & Massage<\/title>\n<meta name=\"description\" content=\"At Summit Chiropractic & Massage, we are dedicated to helping you achieve optimal health and wellness through natural, effective chiropractic care. 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