Online Forms

1st Choice Health & Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.


-Patient Record (PDF)

-HIPAA (PDF)

-Patient Consent (PDF)

-Functional Rating (PDF)


For Auto Accident or Personal Injury patients, they must complete the following form, in addition to the aforementioned forms:
-Personal Injury Questionnaire (PDF)

1st Choice Health & Wellness

Address

2441 State St #10,
New Albany, IN 47150

Phone

812-945-4500

Office Hours

Monday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday  

2:00 pm - 6:00 pm

Wednesday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Friday  

9:00 am - 1:00 pm

Saturday  

Closed

Sunday  

Closed