Our Patients

New Patient Information

We understand that your time is valuable, so to we take every measure to make sure your appointments are always on time and easy to fit your busy schedule.

To help us streamline the initial process, please download and print the new patient paperwork to complete and turn in at your first appointment.

During your first visit, Dr. Lupori will sit with you one on one to listen to your reason for seeking care, including any symptoms, injuries and previous conditions. He will then perform a detailed and complete examination including any x-rays if needed to better understand the underlying cause of your symptoms. It is his goal to make sure that you receive the best analysis and examination so that he can provide you with the best care.

Please do not hesitate to call if you have any questions. Remember we always have your back! We look forward to seeing you soon.

New Patient Forms

To help us streamline the initial process, please download and print the forms below with the (*) symbol to complete and turn in at your first appointment.

If you have been in a recent auto or work accident please also include the coinciding forms.

If your browser does not open the links below, then it does not support PDF in a browser. You can alternatively RIGHT CLICK on the desired icon and select ‘Save Target As…” or “Save Link As…” to save it onto your computer for printing.

About You*

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General Health History*

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Child's Health History

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Collision Information

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Worker Compensation Information

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Office Policy*

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Informed Consent*

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HIPPA Privacy Policy

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Thank You For Visiting Elite Spine Chiropractic

We understand how important it is to choose the right chiropractor for you. Rest assured, it is our belief that educating our patients plays a vital role in the success we see in our office. Let us help you discover the keys to health and performance
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