Patient Forms

New Patient Wellness History Form (PDF)
New Patients must complete this form and mail to CHI at least 4 days prior to your visit.

Massage Health History Form (PDF)
Complete this form and bring it with you for your massage appointment. Please arrive 15 minutes prior to your scheduled massage time.

New Patient Chiropractic Forms: History & Symptom Questionnaire
Complete these forms and bring them with you for your appointment. Please arrive 15 minutes prior to your scheduled appointment time.

Center for Holistic Instruction, PLLC
21316 Davidson St.
Cornelius, NC 28031
704 895-6788