Online Forms

Back2Back Chiropractic & Wellness 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 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 Paper Form if NOT submitting electronically - 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 AdobeReader®

NEW PATIENTS RECEIVE A FREE CONSULTATION!

Location

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Office Hours

Our Regular Schedule

Monday:

2:00 PM-6:00 PM

Tuesday:

2:00 PM-7:00 PM

Wednesday:

10:15 PM-12:00 PM

2:00 PM-6:00 PM

Thursday:

2:00 PM-7:00 PM

Friday:

9:00 AM-12:00 PM

2:00 PM-6:00 PM

Saturday:

Closed

Sunday:

Closed