Download Forms

Thank you for contacting Eaton Chiropractic & Rehab Center.  To schedule an appointment, contact our office at 317.594.2018. Once you've scheduled your first appointment with Dr. Eaton, you'll need to print out and fill out the form below. Bring your completed form to your first appointment along with your insurance card and any x-rays or tests you may have completed with other physicians.

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New Patient Packet
Includes all five items below

New Patient Information

Pain Scale

HIPAA

Chiropractic Insurance Questions

Map to our clinic

 

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