Online Forms

Saul A. Latzer, D.C., C.E.C.P. offers our patient form(s) online so they can be completed 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 form gives us the pertinent information we need in order to understand your current health status.  This will be discussed in detail during your consultation with Dr. Saul.  Also, this will be the time where you will have the opportunity to have all your questions answered, your concerns laid to rest and your health goals defined.

Download & Print Form

Terms of Acceptance Form - Required

This form contains terms and definitions that every patient should be familiar with.  It also outlines the method by which we will help you meet your health goals, thereby eliminating potential confusion or misunderstanding.

Download & Print Form

Download the Free Adobe Reader®


We look forward to hearing from you



Learn how we can help with your pain