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Online Forms

Michaux Family Chiropractic offers our patient form(s) online so they can be completed it 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!

Notice of Privacy Practices - Download & Print Form

New Patient General - Download & Print Form

New Patient Pediatric - Download & Print Form

Personal Injury - Download & Print Form



Download the Free AdobeReader®

Location

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General Office Hours

Doctor adjusting times may vary- Please call for additional info

Accepting Calls 24/Hours

Monday  

8:30 am - 12:00 pm

2:30 pm - 6:30 pm

Tuesday  

CLOSED/BY APPT

3:00 pm - 6:30 pm

Wednesday  

8:30 am - 12:00 pm

2:30 pm - 6:30 pm

Thursday  

CLOSED/BY APPT

Friday  

8:30 am - 12:00 pm

2:30 pm - 6:30 pm

Saturday  

CLOSED/BY APPT

Sunday  

CLOSED/BY APPT

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Please do not submit any Protected Health Information (PHI).