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Online Forms

Active Family Chiropractic & Acupuncture 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.

Please have the following forms filled out before attending your first visit:
There are additional forms for work injuries and/or auto accidents.

Please click on the links below..



Download the Free Adobe Reader®

Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

7:30 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

7:30 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

8:00 am-11:00 am

Sunday:

Closed

Testimonials

  • "We love Dr Adam! He's very patient and takes the time to listen and treat the areas you're having trouble with. Very good with little ones. We all walked out feeling great!!"
    Katie S.
  • "Dr Adam was able to see me right away and took me out of pain!! Best place to go I called and Erica got me scheduled right away not to mention the staff at the front desk always making you feel welcome:)"
    Diana C.
  • "Personalized care at its finest. Dr Adam and Lacey knock it out of the park"
    Deb F.