Online Forms

Dyer Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download
• Click here to open the forms
• Print the forms
• Fill out the forms
• Fax your printed and completed forms to us at (317) 882-4898 or bring them with you to your appointment

If your pain is due to an accident, such as an auto accident, or a fall in a parking lot, please fill out this Accident History form.

If the patient is 18 years of age or younger, please fill out this Consent to Treat Minor form.

Member Wellness Registration

As a visitor of this website, you can obtain access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office.  Click Here to register online! We look forward to making your experience with our office and website more interactive and rewarding!