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414-763-4673

Price 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.

New Patient Health History Form - Required

If you have United Healthcare or Medicare only, please also print and fill out the appropriate pain index form. (If your main complaint are your shoulders or arms, please print Neck Pain Index. If your main complaint are your legs or feet, please print Back Pain Index.)



Download the Free AdobeReader

PATIENT APPRECIATION DAY

The 1st Wednesday of every month our treatment for all existing patients is ONLY $35! 

*Please note that our schedules fill up fast. 

Business Hours

DayOpenClosed
Monday8:00am7:00pm
TuesdayAppointmentOnly
Wednesday8:00am7:00pm
ThursdayClosedClosed
Friday8:00am3:30pm
Saturday8:00amNoon
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am Appointment 8:00am Closed 8:00am 8:00am Closed
7:00pm Only 7:00pm Closed 3:30pm Noon Closed

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