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Online Forms

Pure Health Chiropractic offers our patient form(s) online so they can be completed it 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!

Download & Print Form 



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Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

9:00 am-11:00 am

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "First my wife came in for some issues, then I signed up. A member from my church also came in and signed up. We are all doing so much better. My static nerve pain is gone. Now my son has signed up today. This is something for the entire family."
    Ramon F.