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1301 West Lane Ave.
Columbus, OH, 43221

New Patient Forms

Lane Avenue Health 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.

Informed Consent
Download & Print Form

Detoxification Questionnaire
Download & Print Form

Application For Care
Download & Print Form

Functional Rating Index
Download & Print Form

Regenerative New Patient
Download & Print Form

Privacy Laws
Download & Print Form