Online Forms

Klaes Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Please print off and complete all forms under the heading that best describes your reason for coming to the office. 

All Pediatric Patients use this form: Pediatric Intake Form

If prompted for a user name or password just click cancel.

To help shorten your initial visit: please bring the completed forms to your first visit! 
 

All physical therapy patients please print, fill out and bring this form to your first appointment: PT new patient form.

All new acupuncture patient please print, fill out and bring this form to your first appointment. New acupuncture patient.
 

Member Wellness Registration Form - Optional

This form can be filled out to register for 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. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!