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New Patient Form

The Family Wellness Center offers our new patient form 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 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 Form - Required

This lets us know your history and current state of your health. Also, what questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Location

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Office Hours

Our Regular Schedule

Monday:

10:00 am - 12:30 pm

4:00 pm - 7:30 pm

Tuesday:

9:00 am

7:30 pm

Wednesday:

Closed

4:00 pm - 7:30 pm

Thursday:

10:00 am - 12:30 pm

4:00 pm - 7:30 pm

Friday:

9:00 am

8:00 pm

Saturday:

9:00 am

6:00 pm

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "“I have a new lease in life. My blood pressure is going down, and I no longer take the anti-anxiety medication. Also, I am finding a sense of peace and even happiness.”"
    –U.K
  • "“When I first came to see Dr. Berlin, I had constipation, bouts with Bronchitis, and pneumonia and poor sleeping with many interruptions during the night. Now, my constipation is almost non-existent. My sleeping is so improved. So far this year, I have had no chest problems. Also, my skin is so clear and radiant. I can¹t believe it.”"
    –H.B