Lawlor Chiropractic Intake Forms

For your first visit, please also bring your drivers license and insurance card (chiropractic patients only). Feel free to call our office if you have any questions 636-300-8250.

Chiropractic Patients

To fill out our electronic chiropractic intake form, please click on the link below. This format will allow you to fill out the paperwork online. Once you are done, simply hit “submit” at the end of the form and your information will automatically upload to our computer.

https://www.mychirotouch.com/patientintake/?clientid=LC0055

NOTE: this electronic intake form does not work on cell phones. If you do not have access to a computer or tablet, please call our office at 636-300-8250 and we will arrange for you fill out the paperwork in a different template.

Nutrition Patients

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