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Online Forms

Back To Basics 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 AdobeReaderĀ® 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!

Download & Print Form

Paperless New Patient Health History Form

Below is a link that will allow you to go to a secure portal where you can fill out your paperwork online. You will just need an individualized PIN number that you will be given once you schedule an appointment.

Fill Out Online

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Location & Hours

Locations

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Office Hours

Our Regular Schedule

Primary Office

Monday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

8:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

3:00 pm-6:00 pm

Friday:

8:00 am-1:00 pm

Saturday:

Appointment Only

Sunday:

Closed