New Patient

New Patient


Dr. Kline is happy to heal new patients!

Have you noticed that healthcare providers and insurance carriers are referring to patients as customers? Dr. Kline believes that when it comes to a healthy spine, the customer is not always right. Our patients return to their lifestyle quickly and without pain! With 25 years’ experience in Chiropractic, Dr. Kline will learn as much as possible from the new patient. Although a quick path to recovery is the goal, it is important for Dr. Kline to understand what activities you enjoy most; outside of the essential, of course. That is, standing, walking, running.

Dr. Kline is eager to meet your and begin your evaluation. Whether additional treatment is required or not, the information you provide will help him diagnose the cause of your pain quickly.

After making your appointment, you wil be asked to download, print and complete medical forms below. Bringing the completed forms will avoid waiting in our lobby.

Click below to download our new patient forms. It is important your Chiropractor has as much of this information as possible.

Insurance Policy Information
     * IMPORTANT – Kline Chiropractic & Wellness – Insurance Policy Info

First Time Patient
     * New Patient Form – Update April 2016

Authorization Forms
     * Authorization to Release Medical Information

Personal Injury
     * Personal Injury: Questionnaire
     * Personal Injury: Assignment of Benefits
     * Personal Injury: Notice of Doctor

Occupational Injury
     * Doctor’s First Report
     * Occupational Injury Form

Privacy and Authorizations
     * Employees Designation of Personal Chiropractor

Carlsbad Chiropractor New Patient Forms

Please complete as much information as possible before your visit.


Thanks to our ability to heal patients, their testimony*, and the many referrals, Dr. Kline will be opening a Chiropractic and Wellness Center in Carlsbad on Palomar Airport Road. Details will be available soon, but please ask Dr. Kline on your next visit. He will give you the latest update.

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