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American Family Spine and Health 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

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

Fill Out Online


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

THIS ---->https://amfamilyspine.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday10:15-12:153-6
TuesdayClosed3-6
Wednesday10:15-12:153-6
Thursday8:30-10:303-6
Friday9:00-10:00Closed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:15-12:15 Closed 10:15-12:15 8:30-10:30 9:00-10:00 Closed Closed
3-6 3-6 3-6 3-6 Closed Closed Closed

Testimonial

Dr. Clark and his staff are great. He fixed me up 4 years ago and I continue to see him twice a month, it's a way of life and would never give it up. Thank you American Family Spine and Health.

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