WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Call Us Today

207-947-8077
m

Exclusive Offer, New Patients receive Free Consultation.

Back In Balance Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Adult Forms


New Patient Form

Download & Print Form

Reevaluation Form

Download & Print Form

Update Contact Information

Download & Print Form


Pediatric Forms


New Pediatric Patient Form

Download & Print Form



Download the Free AdobeReader®

Links

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Patient forms are available online to be completed in the convenience of your own home or office.