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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.

Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Adult Form

Download & Print Child Form

Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Download & Print Form

Ideal Protein products available at Mountain West Chiropractic in Henderson

Weight Loss Program

If your are interested in our weight loss program, we need you to fill out a Health Profile.

Download & Print Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Providing natural health care to Henderson, Las Vegas & Green Valley communities.