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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

Download & Print Form


Download the Free AdobeReader®

Click Here for

Sign up using the form below or call us at

507-583-2271

THIS ---->https://drchad.org/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

After experiencing dizziness for about two weeks, I came to Dr. Chad.  The doctor diagnosed the problem as a misalignment of my neck.  After two adjustments, there was a marked improvement.  Now I am doing the best I have for a long time.

Daryl P.

Blooming Prairie, MN

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