Online Forms

Chiropractic Care Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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®

Locations

Office Hours

Monday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Tuesday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Wednesday:

8:30 am-12:30 pm

Thursday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Friday:

8:30 am-12:30 pm

2:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "Dr. Hergert and the entire team are great! My family and I always receive excellent care and professional services in a very friendly environment."
    Abby T.