Online Forms

The Chiropractic Place offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Fill out Patient Intake Form

PDF Patient Intake Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Click here to download our standard new patient intake form:  PDF Patient Intake Form


PDF Personal Injury - Auto / Cycle Accident History Form

Have you been involved in a motor vehicle or cycle accident?

If so, please click here to download our auto/cycle accident new patient intake form:  PDF Personal Injury-Auto Form 



Download the Free AdobeReader®

New patients receive a free consultation!

Location

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Office Hours

By Appointment Only

The Chiropractic Place

Monday:

9:00 am-3:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-3:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

No office hours

Sunday:

No office hours