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269-683-6000
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Exclusive Offer

We Support Our Schools & Teachers

Free evaluations & massage.
Insurance may cover 38 visits 100%. Insurance may cover massage 100%

Clear Choice Chiropractic 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 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 Intake Form

Download & Print Form


New Patient Intake Form Part 2

Download & Print Form


Patient Update 3 Month

Download & Print Form


Patient Update 1 Year

Download & Print Form



Download the Free AdobeReader®

Featured Services

Services
We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.