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Family Chiropractic 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

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


New Patient Child Health History 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!

Download & Print Form


About The Patient Form

Download & Print Form


HIPAA: Patient Health Information Consent Form

We want you to know how your Patient Health Information (PHI) is going to be used in this office and your rights concerning those records.

Download & Print Form



Download the Free AdobeReader®

Free Spinal Consultation

We would like to offer you a Free Spinal Consultation! 

Sign-up using the form or call us at 651-460-9449 to take advantage of this exclusive offer.

Business Hours

DayMorningAfternoon
Monday9 to Noon3 to 6
Tuesday3 to 6
Wednesday9 to Noon3 to 6
Thursday9 to Noon3 to 6
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 to Noon 9 to Noon 9 to Noon Closed Closed Closed
3 to 6 3 to 6 3 to 6 3 to 6 Closed Closed Closed