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 AdobeReader® installed on your computer, Click Here to download.
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
If pregnant, do this also: Pregnancy Massage Informed Consent Form or Print Form