The following forms have been made available for new BRHC patients. Before your first visit with us, download, print & fill up the appropriate form. Bring it with you to your initial appointment.

Document Name

Massage and Chiropractic Intake Form
BRHC – Health History FormDownloadThe information on this form is confidential and will be used for no other purpose than for your Massage Therapy and/or Chiropractic treatment unless consent is obtained from you
Kinesiology Intake Form
Kinesiology Intake Form

Lee Miller

DownloadThe information on this form is confidential and will be used for no other purpose than for your Kinesiology appointments unless consent is obtained from you
Naturopathic Intake Form
Adult Intake Form

Dr. Julie McKeen

DownloadThe information on this form is confidential and will be used for no other purpose than for your Naturopathic appointments unless consent is obtained from you
Micro-Needling Intake Form
Microneedling

Intake Form

Dr. Julie McKeen

DownloadThe information on this form is confidential and will be used for no other purpose than for your Naturopathic appointments unless consent is obtained from you