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Online Forms

Natural Potential Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

Direct submission of Online forms 

Click on the link below to open our online intake form. Please complete all questions and fields in the below questionaire to the best of your ability. The information provided will be entered directly into your file so nothing gets lost in the transition! We look forward to the opportunity to go over each answer with you as we learn more about your healthcare goals and how we can assist you in achieving them!

https://www.mychirotouch.com/patientintake/?clientid=NPC0001

If you are pregnant or filling out the intake forms for your children, please print off the paper forms below because they are more specific to your needs as a parent or mother to be!

Download and Print Parent Questionnaire for Children with Learning/Behavioral Difficulties

Download and Print Pediatric Intake Form

Download and Print Pregnancy Intake Form

  • 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.


Download the Free AdobeReader®

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

10:00 am-1:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I was skeptical about seeing a chiropractor due to a past experience. I was recommended to Dr. Jeff from a friend. The team was welcoming and professional from the first moment walking through the door until you leave. Dr. Jeff listens and takes care of you in office and advises good health habits for you to do at home."
    Bobby A.
  • "Outstanding job! My sciatic nerve pain was horrible, and the sessions I had made all the difference in the world! (Dry needling too!) It’s been a few months and I’m still pain free. Thank you Dr. Carr and staff!"
    Selena S.
  • "Dr Jeff takes my bent, broken body and straightens me out! (Relief from pain and discomfort too!) :P"
    Tom K.
  • "Dr Carr is extremely bright & gifted. He is uniquely tuned in to his patients! I feel very fortunate to have his expertise in keeping my mind & body balanced. I highly recommend him to anyone, as he has a deeper understanding of health than any other chiropractor I know. Thanks so much, Dr Carr!! You really straightened out the scoliosis. I've never felt better!"
    Frances S.
  • "I absolutely love Dr. Carr and his amazing staff. They are always so friendly! Dr. Carr seriously works miracles. He is patient and understanding and explains things in detail!"
    Amy R.