New Patient Intake Paperwork


Thank you for choosing our office and allowing us to help you in this time of need.  We help sick people get healthy and healthy people stay that way.  Our purpose is to help as many people as possible and it is an honor each time we are asked to improve a person’s health and we take our role as your healthcare provider very seriously.  Our patients’ confidence in us drives our commitment to provide the highest quality care possible to them and their families.  We have helped many types of patients with many different symptoms and levels of health.  We help our patients to find answers to their health problems and if you are accepted as a patient, we hope to do the same for you.  The process of identifying the exact, correct underlying CAUSE of your problems requires a great deal of information and testing. That process begins with filling out our New Patient Application Forms.  Please take your time and fill the forms out completely and thoughtfully.  The doctor will meet with you to discuss your condition and do an examination.  Based on what the doctor learns, special tests may be ordered like x-rays, MRI’s, or advanced metabolic tests.  If directed by the doctor your visit may end with some therapy to help provide you some temporary relief.   The doctor will review the information learned from the consultation, examination and prior testing to determine if you are accepted into our office.   Everything will be explained to you at your visit.

We do not accept all cases.  If we feel we can help you, we will explain your treatment options.  If we feel we cannot, we will help you find someone who can.  Again, we look forward to serving you.  If you have any questions, please do not hesitate to ask.

New Patient Application
Please print and complete the following application completely prior to your scheduled appointment
in order for us to determine if you are a good candidate for care.
Please click on the link below↓

IMPORTANT! Please have the New Patient Application Forms completed BEFORE your initial visit.  If possible, please submit all paperwork and previous lab testing (past 6 months) prior to your initial visit.  This allows the doctor to familiarize themselves with your case and do any needed research before your visit.  Please submit via:

1) Fax:  (515)232-0532 

2) Email:

3) Mail (if there is sufficient time): 

Dr. Taylor Chiropractic

214 5th Street

Ames, Iowa 50010

Confirming Your Appointment
We will call you to confirm your appointment one business day prior to the appointment.  If we fail to reach you, please leave a message at (515) 232- 6318 or email us confirming the appointment at  Your initial visit will take about an hour.  Please arrive a little early, as our schedule often won’t allow us to start an appointment late.

If you would like your appointment to be moved to an earlier date, let us know and we will call you if there is an opening.