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Back In Action 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 Patient Forms

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Office Hours

Day Morning Afternoon
Monday 9am - 12pm 2pm - 6pm
Tuesday 2pm - 6pm
Wednesday 9am - 12pm 2pm - 5pm
Thursday 9am - 12pm 2pm - 6pm