Phone: 504.227.0272 • Fax: 504.227.0275 • 1525 Lapalco Blvd. Suite 12, • Harvey, LA • 70058

Patient Forms

If you are a new patient, please download the appropriate forms. Complete them and bring them to your first appointment with Dr. Celine. If you have any questions, please call 504.227.0272.

Chiropractic Health Questionnaire
Patient Information
Vehicle Accident Information
Pain Chart
Disclosures & Consent Form

Download New Patient Forms Schedule an Appointment