Admitting Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.



Health History Intake Form

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Authorization and Assignment Form

  Download & Print Patient Case History Form

  Download & Print Family History Form

  Download & Print Functional Test Form

  Download & Print Patient Questionnaire

  Download & Print Informed Consent

  Download & Print Rationale for Physical Therapy



Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Stephen G. Prefer, DC
3309 Northlake Blvd #106, Palm Beach Gardens, FL | (561) 541-3399
Proudly serving Palm Beach Gardens, West Palm Beach, Lake Park, North Palm Beach

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Dr. Prefer, DC Asks some important questions of interest to Palm Beach Gardens residents - Chiropractor Palm Beach Gardens Dr. Prefer, DC Asks...

What's a side effect?
It may sound like a bonus; something extra, but chiropractors know it should more accurately called an "unintended effect," and "unwanted effect" or in some cases an "adverse effect." A pill can't come close to matching your body's ability to create and deliver the essential compounds it needs. That's when it's important to make sure your nervous system is working correctly—the purpose of chiropractic care!
What's the difference between maintenance, prevention and wellness?
Maintenance chiropractic care is an attempt to keep a dynamic, ever-changing and adapting organism (you) in a static relationship with your environment. Preventive chiropractic care is mostly about early detection. Wellness chiropractic care is an attempt to optimize our health and be all that you were designed to be.