Office Forms

Please click on the link below to download, complete, and print the medical history form before your appointment. Print, read and sign the Privacy Practices Notice and Request for Records as well.

Client Health Information Form
Notice of Privacy Practices
Request for Records
Non-Covered Services.
Informed Consent for Chiropractic Treatment


Directions & Map

Dr. Wendy Pollock, DC, CCH
PO Box 8406
Portland, Maine 04014
Phone: 207.370.8330
FAX: 207.347.3527