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Online Forms

Simple Truth Chiropractic offers our patient forms online so they can be completed in the convenience of your own home before you arrive to our chiropractic office.

  • This form can only be completed on most devices.
  • The link will be emailed to you upon creating your appointment (the link is specific to you).
  • Allow yourself 15-20 minutes to complete the forms.
  • Please fill out each section completely, selecting "none" if a section doesn't apply to you or "other" if your answer is not listed.  

New Patient Health History Form - Required by all new patients

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!


If you're unable to complete the form online, we have a PDF version that you can print out, fill in, and bring with you to your appointment.

Click Here for PDF of New Patient Intake Form



Download the Free AdobeReaderĀ®

Next: What You Can Expect

Location

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Office Hours

Our Regular Schedule

Monday:

9:00am - 1:00pm

3:00pm - 6:00pm

Tuesday:

10:00am - 1:00pm

3:00pm - 6:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Thursday:

10:00am - 1:00pm

3:00pm - 6:00pm

Friday:

9:00am - 1:00pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonial

Review By Our Satisfied Patient

  • ""When I first came here, I could barely walk 10 feet across the room without getting a sharp pain in my hips and back. After one visit, I felt a lot better. After one week I went back to work and I've been improving ever since." - Michelle H. from Wyoming, Michigan."