Download Patient Forms

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Download Forms

Here are some of the forms you will need to bring with you at the time of your appointment with
Haywood Health and Wellness.

New Patient Forms

Download this new patient form and fill out the basic information and consent form so that we can treat you.

Injury Form

Fill this form so that we can have all the insights about the accident and start treatment accordingly.

Old Patient Forms

This form will have all the previous medical records that may interfere with our treatment in some way.

Our Doctors​​

John A. Haywood did his doctorate at Cleveland Chiropractic College, graduated in 1997, and his strong interest in treating injuries resulting from motor vehicle collisions. He then graduated with a certification in treating whiplash and mild traumatic brain injuries.
John A. Haywood, D.C.

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