New Patient Forms

Complete your paperwork before arriving and spend more time focused on your health

Save Time on Your First Visit

Download and complete your paperwork before you arrive to spend more quality time with Dr. Maxwell and less time filling out forms in the waiting room.

How it works: Click "Download Form" below to open the PDF in your browser. Print, complete, and bring the filled form to your first appointment at 210 Locust Street, Princeton, WV 24740. Questions? Call us at (304) 487-8985.

Adult Patient Intake Form

For new adult patients — includes complete medical history, current symptoms, insurance information, and your personal health goals.

📄 PDF Format
Printable
⬇ Download Adult Form

Personal Injury Form

For patients involved in auto accidents, workplace injuries, or personal injury cases. Includes accident details, insurance, and attorney information sections.

📄 PDF Format
Printable
⬇ Download PI Form

Children's Intake Form

Designed for pediatric patients ages 1–17. Includes parent/guardian information, developmental history, birth information, and childhood health concerns.

📄 PDF Format
Printable
⬇ Download Children's Form

Infant Form

For newborns and infants under 12 months. Covers birth history, birth method, any birth complications, developmental milestones, and parental health concerns.

📄 PDF Format
Printable
⬇ Download Infant Form

Prefer to fill out forms in person? That's perfectly fine — forms are also available at our office. Arrive 15 minutes early to your first appointment to allow time for paperwork. Call us at (304) 487-8985 with any questions.

What Happens at Your First Visit?

Here's what to expect when you come in as a new patient at Alliant Wellness

1

Complete Forms

Download and fill in your intake form before arriving, or complete it in our welcoming waiting room.

2

Meet Dr. Maxwell

Sit down with Dr. Maxwell for a thorough consultation. He'll listen to your concerns, goals, and health history.

3

Examination

Comprehensive spinal examination and postural analysis. X-rays may be taken if clinically indicated.

4

Your Care Plan

Dr. Maxwell presents your findings and outlines a personalized care plan tailored to your goals and lifestyle.

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How Long is the First Visit?

Plan for approximately 45–60 minutes for your first appointment. Follow-up visits are typically 20–30 minutes.

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What to Wear

Comfortable, loose-fitting clothing is ideal. We may ask you to change into a gown for certain parts of the examination.

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What to Bring

Your completed intake forms, photo ID, insurance card, and any relevant medical records or imaging (X-rays, MRIs).

New Patient FAQ

No referral is needed. You can call us directly at (304) 487-8985 or use our online appointment request form to schedule your first visit. We welcome walk-ins when scheduling allows.
We work with most major insurance plans. Please contact our office at (304) 487-8985 to verify your specific coverage before your appointment. We also offer affordable self-pay options for patients without insurance.
Absolutely. Pediatric chiropractic adjustments use extremely gentle pressure appropriate to the child's size and age. Dr. Maxwell is experienced in treating patients from newborns through teenagers, and many parents report significant improvements in their children's sleep, immunity, and overall wellbeing.
In many cases, yes. After your initial consultation and examination, Dr. Maxwell may provide your first adjustment during the same visit. However, depending on your specific condition and examination findings, he may schedule a follow-up report of findings visit first. Your comfort and safety are always the top priority.
A chiropractic adjustment is a precise, controlled force applied to a specific joint — most often in the spine — to restore proper motion and alignment. The "pop" or "crack" sometimes heard is simply gas releasing from the joint, similar to cracking your knuckles. Adjustments are safe, effective, and typically painless or even relieving.
Every patient is different. Your personalized care plan will be based on your specific condition, how long it has been present, your health goals, and your body's response to care. Dr. Maxwell will explain his recommendations clearly and will always respect your decisions regarding your care plan. Many patients experience relief within just a few visits.

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Ready to Book Your First Appointment?

Download your forms today and call us to schedule — we look forward to welcoming you to the Alliant Wellness family.