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Online Forms

Mayfield Advanced Medical offers our patient forms online so they can be completed in the convenience of your own home or office, before you arrive at our chiropractic office.

For our Alexandria office, click here and you will be taken to our online patient form.  For our Lake Charles office click here. Please note that if you have been in a motor vehicle accident, select Auto Accident (either job-related or personal) as the answer to the question "What is the reason for this visit?" This ensures you are asked the right questions.