Online Forms

Healing Place Chiropractic and Wellness offers our patient form(s) online so they can be completed 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!

Informed Consent [Download & Print Form]

Case Personal Social Family History Form [Download & Print Form]

Cancellation Policies [Download & Print Form]


Download the Free Adobe Reader®

Contact Us

Location

Hours

Monday:

9:00 AM- 3:30 PM

Tuesday:

9:00 AM- 3:30 PM

Wednesday:

Closed

Thursday:

9:00 AM- 3:30 PM

Friday:

10:00 AM- 6:00 PM

Saturday:

Closed

Sunday:

Closed