Online Forms

Live Well 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 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



Download the Free Adobe Reader®

Location

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HOURS OF OPERATION

Monday

8:00 am - 6:00 pm

Tuesday

9:00 am - 7:00 pm

Wednesday

8:00 am - 6:00 pm

Thursday

*Urgent Care

Friday

8:00 am - 5:00 pm

Saturday

*Urgent Care

Sunday

*Urgent Care

Monday
8:00 am - 6:00 pm
Tuesday
9:00 am - 7:00 pm
Wednesday
8:00 am - 6:00 pm
Thursday
*Urgent Care
Friday
8:00 am - 5:00 pm
Saturday
*Urgent Care
Sunday
*Urgent Care