New Patient Paperwork

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

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • All patients should fill out appropriate intake as well as the neck and back index forms.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Adult Health Record

Child Health Record

Motor Vehicle History

Workers' Compensation

Neck Index

Back Index

Directions

OFFICE HOURS


Monday
8:00am - 5:30pm


Tuesday
Closed


Wednesday
8:00am - 5:30pm


Thursday
10:00am - 6:00pm


Friday
8:00am - 5:30pm


Saturday
Closed

Advanced Chiropractic
2485 Maplewood Drive #215
Maplewood, MN 55109
Phone (651) 770-7938
Fax (651) 765-0995