Patient forms
Save time on your first visit
Completing these forms before your appointment helps Dr. Bailey tailor your care and shortens your wait. Print them, fill them out, and bring them with you.
- Download PDF 1.3 MB
New patient paperwork
Client information and patient history forms.
- Download PDF 134 KB
Client consent: health information
Consent for Dr. Rachel Bailey, D.C. to keep records of your health care and health history (HIPAA).
- Download PDF 554 KB
Client consent: contact
Electronic communication release.
- Download PDF 188 KB
Client consent: chiropractic treatment
Information about potential risks of chiropractic adjustments. Dr. Bailey has practiced for more than a decade without these complications, but wants every patient to be fully informed.
- Download PDF 27 KB
Medicare & insurance
Dr. Bailey does not file with insurance or Medicare. You can submit your receipts to your carrier for direct reimbursement, depending on your coverage, out-of-network deductible, and your insurer's approval.
Appointments · Monday – Saturday, by appointment only