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Prairie Family & Sports Chiropractic 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 Case 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

Terms of Acceptance Consent Form - Required

Download & Print Form

Notice of Privacy - Required

Download & Print Form

Consent For Use & Disclosure

Download & Print Form


 

Case History Update Form (For Existing Patients ONLY)

Download & Print Form

 

 

Workers Compensation Accident Report

Download & Print Form

 

 

Auto Accident Report

Download & Print Form

 

 

 

 


 

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 office. You can print it out and bring it in to our office 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

 


 

Massage New Client Form

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Download the Free AdobeReader®

Click Here for

Sign up using the form below or call us at

507-583-2271

THIS ---->https://drchad.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:00 a.m.6:00 p.m.
Tuesday9:00 a.m.5:00 p.m.
Wednesday8:00 a.m.6:00 p.m.
ThursdayBy Appt.By Appt.
Friday8:00 a.m.6:00 p.m.
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00 a.m. 9:00 a.m. 8:00 a.m. By Appt. 8:00 a.m. Closed Closed
6:00 p.m. 5:00 p.m. 6:00 p.m. By Appt. 6:00 p.m. Closed Closed

Testimonials

Before I started getting adjusted I had pain in my neck that gave me headaches to the point where I was unable to sleep or work!  Since I started getting treated I am doing a lot better and am able to sleep with less pain!  The treatments have made my life so much better.  I feel great!

Jerad P.

Blooming Prairie, MN

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