Noah's Ark Chiropractic
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New Animal Patient Intake Forms

These forms are needed for each new animal patient seen at Noah's Ark Chiropractic.  Click on the links below to download each form (page 1 is available in fillable or printable), fill out completely, and bring with you to your animal's first appointment.  We do keep copies of these forms in our office, but if you choose to fill them out there please arrive 10 minutes early.

intake_form_page_1_fillable.docx (Fillable)
File Size: 24 kb
File Type: docx
Download File

intake_form_page_1.docx (printable)
File Size: 16 kb
File Type: docx
Download File

intake_form_2.pdf
File Size: 1026 kb
File Type: pdf
Download File

​Written Consent for Treatment

This form must be signed by both the animal owner and the treating veterinarian prior to the animal's first chiropractic treatment.  We encourage our clients to download this form, fill it out, and take it to their animal's veterinarian for the needed signature.  The form can then be brought to our office with the first appointment or faxed to our office directly from the veterinary office. 
Note: clients with multiple animals being treated in our office may use one form for all of their animals; just make sure to list each of their names in the field "Patient(s)". 
written_consent.pdf
File Size: 674 kb
File Type: pdf
Download File

Wild Dog Diet

This document gives some great ideas on how to approach a "Wild Dog Diet" for your canine, including recommendations for both a "raw-food" diet and healthy prepared food brands.  The author, Dr. Kimberly Henneman, is a holistic veterinarian in Park City, UT and graciously gave us permission to use her form. 
wild_dog_diet.pdf
File Size: 664 kb
File Type: pdf
Download File

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