4116 W. Craig Road, Suite 100
N. Las Vegas, NV 89132
702.655.1199 tel
702.646.0630 fax

Advanced Chiropractic Specialists offers online forms for new patients visiting both locations.

Such forms can be completed in the convenience of your own home. Please click on the individual forms below, print and fully complete all of them, and bring them to your initial appointment.

Please arrive at least 15 minutes prior to your scheduled appointment time. Make sure to bring your insurance card and photo I.D.


To the view the following PDFs you will need ADOBE Acrobat Reader® installed. For a FREE downlaod click below.
Adobe Reader image


Confidential Patient Information [PDF]
Patient History [PDF]
Privacy Practices [PDF]
Authorization & Assignment [PDF]