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Online Forms

Health 4 Life Chiropractic offers our patient form(s) online so they can be completed it 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.

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!

Click NEW PATIENT APPLICATION to fill out and submit online.

***If you have more than ONE area of complaint MAKE SURE YOU check this bubble when filling out the NEW PATIENT APPLICATION***

ScreenShot of Additional Complaints


Download and Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Health 4 Life Chiropractic

Monday:

6:00 am-10:00 am

3:00 pm-5:00 pm

Tuesday:

Closed

3:00 pm-5:00 pm

Wednesday:

6:00 am-10:00 am

3:00 pm-5:00 pm

Thursday:

6:00 am-10:00 am

Closed

Friday:

6:00 am-10:00 am

Closed

Saturday:

9:00 am-9:30 am

Closed

Sunday:

Closed

Closed

Location

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