Exclusive Offer

New Patients Receive a Free Consultation

Online Forms

Prairielands Chiropractic Clinic offers forms online so they can be completed at your convenience, submitting online or printed to bring with you.

  • Complete and submit online or download the necessary forms. If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.

Please complete our form for new patients:

If pregnant, do this also:  Pregnancy Massage Informed Consent Form or Print Form

Chiropractic Care

New Patient Online Form or Print Form

New Pediatric (birth-12 years old) Patient Online Form or Print Form

Personal Injury

Do you have a claim number and need to be a personal injury patient? 

New Personal Injury / Work Comp Online Form or Print Form

Massage

Massage Consent Online Form or Print Form

Yoga

Print Yoga Waiver Form


CONTACT US TODAY

We look forward to hearing from you

Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-7:00 pm

9:00am-12:00pm Gutshall

Wednesday:

8:00 pm-1:00 pm

Thursday:

8:00am-7:00pm MASSAGE

9:00am-12:00pm Gutshall

Friday:

8:00 am-7:00 pm

Saturday:

8:00am-2:00pm OCCASIONALLY

Sunday:

Closed