Online Forms

Schmidt 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

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®

Contact Us

Office Hours

Monday

9:00 am - 12:00 pm

Tuesday

10:00 am - 12:00 pm

3:00 pm - 7:00 pm

Wednesday

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Thursday

Closed

Closed

Friday

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Saturday

9:00 am - 12:00 pm

Closed

Sunday

Closed

Closed

Monday
9:00 am - 12:00 pm
Tuesday
10:00 am - 12:00 pm 3:00 pm - 7:00 pm
Wednesday
9:00 am - 12:00 pm 3:00 pm - 7:00 pm
Thursday
Closed Closed
Friday
9:00 am - 12:00 pm 3:00 pm - 7:00 pm
Saturday
9:00 am - 12:00 pm Closed
Sunday
Closed Closed