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Rehrig Chiropractic & 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 Forms

For Chiropractic Patients

Please remember to bring your insurance card and a photo ID with you to the office. Be sure to arrive 15 minutes prior to your appointment time in order to allow time to complete paperwork pertaining to your health issues. You may however choose to complete this paperwork in advance at your own leisure at home. To do so, simply download and print out the forms that are also attached as PDF documents.

Download & Print Form - [Chiropractic]


For Health Improvement Program [Nutrition] Patients

Download & Print Form - [H.I.P.]


ALL PATIENTS SHOULD TAKE THE SYSTEMS SURVEY


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