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Online Forms

Wellcare Chiropractic Center 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 office.

  • Download the necessary form(s), print and fill in the required information.
  • Bring these forms with you to your appointment.
  • Forms are specific for Chiropractic, Acupuncture, Massage and Ideal Protein
  • If you do not already have AdobeReader® installed, Click Here to download.

Chiropractic:

1) Registration Forms (includes receipt of HIPPAA Privacy Notice) Click here to read Privacy Notice

2) Financial Policies (as it applies to your current situation)

3) Complete these Quesionnaire forms as they apply to your area of pain.

     -  Neck Pain   -  Upper Extremities (arms/hand)
     -  Low Back Pain (online form)   -  Lower Extremities (legs/knees/feet)
     -  Headaches

Acupuncture:            Acupuncture Registration Form

Massage Therapy:    Massage Registration Form

Ideal Protein:             Health Profile Form



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We look forward to hearing from you

Location & Hours

Monday:

9:00 am - 1:00 pm

3:00 pm - 7:00 pm

Tuesday:

9:00 am - 1:00 pm

3:00 pm - 7:00 pm

Wednesday:

9:00 am - 1:00 pm

3:00 pm - 7:00 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 7:00 pm

Friday:

9:00 am - 2:00 pm

Saturday:

By Appt.

Sunday:

Closed