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Online Forms

Ada Family Chiropractic 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.

New Patient Health History Form - Required

This will let us know the history and current state of your health. This cannot be submitted on a cell phone or tablet; it must be completed on a computer or iPad. Please do not print the form. Fill out the form completely and hit the 'Submit' button at the bottom. If you do not have computer access you can fill out the forms when you arrive at the office.

Fill Out Online


HIPAA Forms - View and/or Print to keep for your records

Download & Print Form




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Locations

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Office Hours

Our Regular Schedule

Primary Office

Monday:

7:30 am-5:30 pm

Tuesday:

8:30 am-5:30 pm

Wednesday:

7:30 am-5:30 pm

Thursday:

8:30 am-5:30 pm

Friday:

8:30 am-1:00 pm

Saturday:

Closed

Sunday:

Closed