Online Forms

Active Health Chiropractic 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 History and Forms - 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!

New Patient Health History Form

New Patient Consent Form

New Patient Cancelation Policy

New Patient Release of Information


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Location

Hours of Operation

Monday

8:30 am - 6:00 pm

Tuesday

8:30 am - 6:00 pm

Wednesday

8:30 am - 6:00 pm

Thursday

8:30 am - 6:00 pm

Friday

1:00 pm - 5:00 pm

Saturday

By Appointment

Sunday

By Appointment

Monday
8:30 am - 6:00 pm
Tuesday
8:30 am - 6:00 pm
Wednesday
8:30 am - 6:00 pm
Thursday
8:30 am - 6:00 pm
Friday
1:00 pm - 5:00 pm
Saturday
By Appointment
Sunday
By Appointment