Instructions:
Please send completed paperwork to us 5 days prior to your scheduled appointment. Detailed instructions are provided on the forms themselves.
Submission:
For the security of your health information (PHI) we accept the following methods for submitting patient paperwork: Fax, Mail, or the Secure Upload Form below.
IMPORTANT NOTE ABOUT FILLING OUT FORMS
Many browsers like Chrome, Firefox, & Safari will open the following PDFs in a new tab. Do NOT begin filling out the form in your browser window! You will NOT be able to save your work and your form will be downloaded EMPTY. Please download & save the file to your Computer Desktop or Documents. Then open with Adobe Reader and fill out the forms WITHIN Adobe Reader. (If using a Mac, the Preview program seems to work for filling out these forms most of the time as well.)
-Step 1-
-Step 2-
-Step 3-
-Step 4-
-Step 5-
Download Forms
Patient Paperwork |
| Dr. John Douillard, DC: |
Upload/Send Forms
| Secured by: SendThisFile |
