Patient Forms

 
Your first visit to Proactive Chiropractic establishes a foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like medical history, and give you time to get to know your chiropractor. You can save some time at your first visit by printing out and completing the patient forms in advance of your appointment.

General Patient Forms

New Patient Forms

No Fault Insurance Forms

Please complete either the New Patient Forms or Lapse-in-treatment Forms above plus the forms below:

No Fault Insurance Form
No Fault Insurance Disclaimer
No Fault Form – Auto Accident History

 

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

CALENDAR

April 2024
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HOURS OF OPERATION

Monday 7:00am - 6:00pm
Tuesday 7:00am - 6:00pm
Wednesday 7:00am - 6:00pm
Thursday 7:00am - 6:00pm
Friday 7:00am - 5:00pm
Saturday 7:00am - 3:00pm
Sunday CLOSED

 

TESTIMONIALS

What our patients are saying

Suzanne Kullman, Latham

Well, it has been two months since I hobbled into your office with the most excruciating pain that I ever experienced! Because of your patience and determination, I am back to my normal life again. It was not only your capability as a chiropractor that impressed me, but your ability to show true concern for your patients that I admire.

Suzanne Kullman, Latham

Jeff Knox, Clifton Park

I was diagnosed with Degenerative Disc Disease. Experiencing much pain in my neck, I was told that there was no cure for this condition and the best I could hope for was surgery when the pain became unbearable. My doctor recommended Proactive Chiropractic. With Dr. Nelson’s adjustments and prescribed exercises I am practically pain free. Dr. Nelson has a professional, courteous and efficient operation. I highly endorse this practice.

Jeff Knox, Clifton Park

John Taite, Rexford

The discomfort that I have suffered in my shoulders and low back has troubled me for almost three years. Other chiropractors and medical doctors were not able to give me the level or longevity of relief that I currently have. I am confident that it will continue because of the exercise program that you devised for me…you have certainly been Proactive in helping me build a healthier lifestyle.

John Taite, Rexford