Patient Forms

Restore to Health offers our valued patients the ability to download patient forms prior to arriving at the office. Complete these forms in the convenience of your own home. This information provides us your health history and current state of health. What questions, concerns, and/or goals can we help you with? Be sure to let us know!

  • If you do not already have Adobe Acrobat Reader ®, click here to download it for free
  • Download the necessary forms, fill in the required information, and print
  • Bring the forms with you to your appointment

Restore to Health New Patient Form

Chiropractic New Patient Form


Restore to Health offers local, national, and international services. We can consult with you by phone or Skype. Receive test kits and products mailed directly to your home or office. Long distance consultations, test kits, and services available.

Call Today! (406) 855-3837

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