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Online Forms

Active Wellness Chiropractic Center 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 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®

 

Location

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Office Hours

Our Regular Schedule

Monday:

9:30 am - 1:00 pm

3:00 pm - 7:00 pm

Tuesday:

9:30 am - 1:00 pm

3:00 pm - 7:00 pm

Wednesday:

Closed

Closed

Thursday:

9:30 am - 1:00 pm

3:00 pm - 7:00 pm

Friday:

9:30 am - 1:00 pm

3:00 pm - 7:00 pm

Saturday:

Closed

1:00 pm - 3:00 pm

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Thanks for providing Nick and I with such great treatment. I especially appreciate your willingness to see us on short notice for injuries. Thank you!"
    ~Azzia
  • "Dr. Burg used a combination of chiropractic and ART treatments to affect my positive outcome. These therapies proved to be both immediately beneficial and of complementary value over the course of my treatment. Dr. Burg's style is kind and caring. I have already recommended Dr. Burg to a friend and would not hesitate to do so again in the future!"
    ~Jeff