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Online Forms

Life Chiropractic and Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Application for Care-Required

This form will give us your general information to get your care started. Please click on the link below:

Download & Print Form

Patient Health Questionnaire – Required

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! Please click on the link below: 

Download & Print Form



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