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Online Forms

Back To Health 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.

New Patient Health History Form - 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!

Download & Print Form


Auto Accident Injury Form - Optional

This form is for patients seeking treatment after an auto accident.  The form asks you to complete some basic health history information and then to detail information about the auto accident that will be helpful in treating you.

Download & Print Form


Download the Free AdobeReader®

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Office Hours

Our Regular Schedule

Back To Health Wellness Center

Monday:

8:00 am - 12:30 pm

2:30 pm - 6:30 pm

Tuesday:

8:00 am - 1:00 pm

Wednesday:

8:00 am - 12:30 pm

2:30 pm - 6:30 pm

Thursday:

8:00 am - 1:00 pm

Friday:

8:00 am - 12:30 pm

2:30 pm - 6:30 pm

Saturday:

By Appointment Only

Sunday:

Closed

Testimonial

  • "Very considerate of situation. Explained each procedure. Took appropriate amount of time. Appeared to be very knowledgeable of chiropractic medicine."
    Frances M