Online Forms

Healthy Choice Family Chiropractic 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.

Adult Health Record

This lets us know the history and current state of your health. What questions, concerns, and goals regarding wellness can we help you with? Let us know!

Download & Print Form


Pediatric Health Record (Under 13)

This lets us know the history and current state of your child's health. What questions, concerns, and goals regarding your child's wellness can we help you with? Let us know!

Download & Print Form



Download the Free AdobeReader®

Office Hours

Closed Daily for Lunch from 11:30 am - 1:30 pm

Monday:

8:00 am-6:30 pm

Tuesday:

1:30 pm-5:30 pm

Wednesday:

8:00 am-6:30 pm

Thursday:

7:30 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "I have benefited tremendously from the chiropractic care I received from Dr. Therese."
    Carmen R.

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