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Online Forms

Proactive Chiropractic and PT offers our patient form(s) online so they can be completed it in the convenience of your own home or 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 or email us your printed and completed form(s) or bring it with you to your appointment. If you have not completed the necessary forms, please arrive 30 minutes before your appointment time.
  • Please note, our office requires 24 hour notice for cancellation or missed appointments. Failure to give notice will incur a fee. This expense cannot be billed to your insurance, personal injury protection or workman's compensation.

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! Please download the forms that apply to which type of provider you will be seeing.

New Patient Paperwork

New Physical Therapy Patients- WITH MEDICARE

New Physical Therapy Patients- NON MEDICARE

Massage Therapy Intake Form

Notice of Privacy Practices (HIPAA NOTICE)



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Location

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Office Hours

Our Regular Schedule

Proactive Chiropractic and PT

Monday:

7:00 am-7:00 pm

Tuesday:

7:00 am-7:00 pm

Wednesday:

7:00 am-7:00 pm

Thursday:

7:00 am-7:00 pm

Friday:

7:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed