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New Patient Paperwork

Online Forms at Bemis Tupman ChiropracticAt Bemis Tupman Chiropractic, we offer our paperwork online so you can complete it in the convenience of your own home. Please help us make your visit as efficient as possible by completing these forms prior your first visit.

New Patient Intake Form (Online)

Informed Consent to Chiropractic Treatment

Policy Agreement and HIPAA Disclosure Form

X-Ray Assignment Agreement and Consent

Office Policies


New Patient Paperwork at Bemis Tupman Chiropractic | (618) 463-1600