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Online Forms

Rochester Chiropractic Center 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 Health History Form - Required

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

Download & Print Form



Download the Free AdobeReader®

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Office Hours

Office Hours

Monday:

8:30 AM - 11:00 AM

3:00 PM - 6:00PM

Tuesday:

3:00 PM - 6:00 PM

Wednesday:

8:30 AM - 11:00 AM

3:00 PM - 6:00PM

Thursday:

CLOSED

Friday:

8:30 AM - 11:00 AM

3:00 PM - 6:00PM

Saturday:

10:00 AM - 11:00 AM

Sunday:

CLOSED

Testimonial

  • "It was my lucky day when you stopped me at the fair. Your treatments have taken away my arthritis pain, given me more energy and helped me to handle the stresses in my life."
    Jan - Rochester, WA