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Online Forms

Activate you Health Chiropractic and Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReaderĀ® 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.

For New Patients:

New Patient First Visit Forms

For Returning Patients:

Patient Update Form



Contact Us

Send us an email

Location

Office Hours

Our Regular Schedule

Monday:

8:00 am-2:00 pm

3:00 pm-7:00 pm

Tuesday:

8:00 am-2:00 pm

3:00 pm-7:00 pm

Wednesday:

8:00 am-2:00 pm

3:00 pm-7:00 pm

Thursday:

8:00 am-2:00 pm

3:00 pm-7:00 pm

Friday:

8:00 am-2:00 pm

3:00 pm-7:00 pm

Saturday:

Closed

Sunday:

Closed