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 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


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-5:00pm 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

Sunday:

Closed