On-Line Scheduler

If you are new to us or even to chiropractic or acupuncture, don't be nervous... There's a first time for everything!
Whether you are a new or an existing patient, or even a massage client!, please take advantage of this convenient on-line appointment request form. This will help make the process a little easier.
After you fill in the form below, press SEND and we will contact you as soon as possible to schedule your appointment.

    What Category of Patient Are You? (required)

    Your First Name (required)

    Your Last Name (required)

    Your Email

    Your Phone Number (required)

    Please choose a preferred date (Optional)

    What Type of Case is This? Check All that apply.(required)

    Please indicate your doctor preference, if any

    Briefly describe the nature of your appointment request

    *Please Do Not include any Protected Health Information (PHI).

    Once you click send, we will contact you as soon as possible

    to finalize the date and time of your appointment. Thank you!

    If you want to save a little more time, you can download and complete our Patient Information and History Forms prior to your appointment. But it's not required - just come in and we'll take care of the details.

    Patient Intake PDF    Patient Information Intake Form (Required for all patients and massage clients)

    Standard History PDF    Standard Patient History Form (Chiropractic and Acupuncture)

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