---
title: Chiropractic New Patient Discovery Form Template | Paperform
description: Comprehensive chiropractic intake form template for new patients. Capture chief complaints, pain characteristics, medical history, and wellness goals digitally before the first visit.
url: "https://paperform.co/templates/chiropractic-new-patient-discovery-form"
type: static
generatedAt: "2026-03-28T00:43:18.576Z"
---

[← Back to free form templates](/templates/)    ![Chiropractic New Patient Discovery Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/chiropractic-new-patient-discovery-form.png)
    [Preview](https://_preview.paperform.co/ai-template/chiropractic-new-patient-discovery-form) [Use this template for free](/create?ai-template=chiropractic-new-patient-discovery-form)    [Intake Forms](/templates/category/intake-forms/)[Discovery & Research Forms](/templates/category/discovery-research/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Chiropractic & Alternative Medicine](/templates/industry/chiropractic/)[Fitness & Wellness](/templates/industry/fitness-wellness/) [Chiropractor](/templates/role/chiropractor/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Massage Therapist](/templates/role/massage-therapist/)     About this free form template
### Welcome New Patients with a Professional Chiropractic Discovery Form

First impressions matter in healthcare. When a new patient walks into your chiropractic practice, a well-structured discovery form sets the tone for a professional, patient-centered experience. This **Chiropractic New Patient Discovery Form** template helps you gather essential information about chief complaints, pain characteristics, aggravating factors, previous treatments, medical history, and wellness goals—all before the first adjustment.

#### Why Chiropractors Need Streamlined Patient Intake

For busy chiropractic practices, paper forms and clipboards create bottlenecks. Patients arrive early to fill out paperwork, handwriting can be illegible, and staff spend valuable time manually entering data. This Paperform template replaces that friction with a digital-first approach that patients can complete on any device—at home before their appointment or in your waiting room on a tablet.

The form captures everything you need for a thorough initial assessment: location and duration of pain, intensity ratings, what makes symptoms better or worse, previous chiropractic or medical treatments, current medications, and personal wellness objectives. Conditional logic shows relevant follow-up questions based on responses, so patients only see what applies to them.

#### Build Trust Through Thoughtful Questions

This template is designed with a warm, professional tone that reflects the holistic, patient-centered philosophy of chiropractic care. Rather than feeling like a clinical interrogation, the form guides patients through a conversation about their health journey and goals. Questions about lifestyle factors, stress levels, and wellness aspirations help you see the whole person, not just the presenting complaint.

#### Automate Your Workflow with Stepper

Once a patient submits their discovery form, you can use [Stepper](https://stepper.io) to automatically create their patient record in your practice management software, send a confirmation email with pre-appointment instructions, notify your front desk team, and even trigger a welcome SMS. This means less administrative work and more time focused on patient care.

#### Designed for Chiropractic, Physical Therapy, and Wellness Practices

While built specifically for chiropractors, this template works beautifully for physical therapists, massage therapists, acupuncturists, and other manual therapy practitioners who need detailed musculoskeletal intake forms. Customize the questions, add your logo and brand colors, and embed it directly on your practice website or send it via email when patients book online.

**Trusted by healthcare providers worldwide, Paperform is SOC 2 Type II and GDPR compliant**, giving you and your patients peace of mind that sensitive health information is protected. Start with this template and have your custom intake form live in minutes—no coding required.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Acupuncture Intake & Symptom Assessment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/acupuncture-intake-symptom-assessment-form.png)

### Acupuncture Intake & Symptom Assessment Form

A comprehensive intake form for acupuncture patients that assesses symptoms, identifies traditional Chinese medicine patterns, and establishes treatment goals and expectations.](/templates/acupuncture-intake-symptom-assessment-form/)
[![Occupational Therapy Discovery Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/occupational-therapy-discovery-form.png)

### Occupational Therapy Discovery Form

A comprehensive intake and discovery form for occupational therapists to assess daily living challenges, sensory processing concerns, fine motor skills, adaptive equipment needs, and home environment factors.](/templates/occupational-therapy-discovery-form/)
[![Physical Therapy Discovery Questionnaire](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/physical-therapy-discovery-questionnaire.png)

### Physical Therapy Discovery Questionnaire

A comprehensive physical therapy intake form to assess injuries, pain levels, functional limitations, treatment history, and rehabilitation goals for new patients.](/templates/physical-therapy-discovery-questionnaire/)
[![Acupuncture Client Discovery & Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/acupuncture-client-discovery-intake-form.png)

### Acupuncture Client Discovery & Intake Form

A comprehensive intake form for acupuncturists to gather information about new clients' health concerns, Traditional Chinese Medicine (TCM) history, previous acupuncture experience, medications, and holistic wellness goals.](/templates/acupuncture-client-discovery-intake-form/)
[![Acupuncture Patient Consent & Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/acupuncture-patient-consent-intake-form.png)

### Acupuncture Patient Consent & Intake Form

A comprehensive patient consent and intake form for acupuncture practitioners. Includes treatment explanation, needle phobia assessment, traditional Chinese medicine health history, and informed consent documentation.](/templates/acupuncture-patient-consent-intake-form/)
[![Chiropractic New Patient Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/chiropractic-new-patient-intake-form.png)

### Chiropractic New Patient Intake Form

A comprehensive chiropractic intake form for new patients that captures personal information, medical history, pain assessment, lifestyle factors, and treatment consent to ensure effective care planning.](/templates/chiropractic-new-patient-intake-form/)
[![Craniosacral Therapy Information Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/craniosacral-therapy-information-request-form.png)

### Craniosacral Therapy Information Request Form

A warm, comprehensive form for potential clients to request information about craniosacral therapy services, share their health concerns, and optionally schedule an initial consultation.](/templates/craniosacral-therapy-information-request-form/)
[![Craniosacral Therapy Session & Time Allocation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/craniosacral-therapy-session-time-allocation-form.png)

### Craniosacral Therapy Session & Time Allocation Form

A comprehensive intake and session tracking form for craniosacral therapists to document client information, treatment duration, symptom progression, and integration period recommendations.](/templates/craniosacral-therapy-session-time-allocation-form/)
[![Dry Needling Clinic Support Ticket Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/dry-needling-clinic-support-ticket-form.png)

### Dry Needling Clinic Support Ticket Form

A comprehensive support request form designed for dry needling clinic management platforms to track technical issues, treatment documentation problems, insurance billing challenges, and patient consent concerns.](/templates/dry-needling-clinic-support-ticket-form/)
[![Massage Therapy Client Discovery Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/massage-therapy-client-discovery-form.png)

### Massage Therapy Client Discovery Form

A comprehensive intake form for massage therapists to assess new clients' pain areas, pressure preferences, injury history, and treatment goals before their first session.](/templates/massage-therapy-client-discovery-form/)
[![Medical Acupuncture Patient Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/medical-acupuncture-patient-intake-form.png)

### Medical Acupuncture Patient Intake Form

A comprehensive patient intake form for acupuncture clinics to assess new patients' pain conditions, energy levels, health history, and treatment expectations.](/templates/medical-acupuncture-patient-intake-form/)
[![Myofascial Release Therapist Treatment Session Tracker](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/myofascial-release-therapist-treatment-session-tracker.png)

### Myofascial Release Therapist Treatment Session Tracker

Track detailed treatment session times including tissue assessment, manual therapy, movement re-education, and self-care instruction for myofascial release therapy practice management.](/templates/myofascial-release-therapist-treatment-session-tracker/)