Patient Forms
Once you book your appointment, we will send your new patient paperwork via text or email to complete before your visit.
Start Your Journey to Better Health Today!
Our dedicated team at Maloney Chiropractic is here to support your wellness journey. Book your appointment and we'll send your paperwork directly to you.
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(570) 784-2811Don't wait any longer to prioritize your health.
Contact us today and take the first step towards a better you!
What to Bring to Your Appointment
Insurance & ID
- • Valid photo identification
- • Insurance card (front and back)
- • Insurance company contact information
- • List of current medications
Medical History
- • Prior medical records if applicable
- • List of previous injuries or surgeries
- • Contact info for referring physician
- • Any relevant imaging (MRI scans, etc.)
Frequently Asked Questions
How long does the intake form take?
The online intake form typically takes 5-10 minutes to complete. All information is kept secure and encrypted.
Can I save my form and return later?
Yes, the online form allows you to save your progress. You'll receive an email confirmation once submitted, and we'll have it ready for your visit.
Is my information secure?
Absolutely. Our patient portal uses HIPAA-compliant encryption to protect all your personal health information.
What if I prefer to fill out the form in person?
You're welcome to complete your forms when you arrive for your appointment. However, completing them online helps us provide more efficient care on your first visit.
Do I need to print anything?
No, there's no need to print anything. Our online form system handles everything digitally, so you can complete it from your phone, tablet, or computer.