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Adjust to Health Chiropractic 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.

Application for Care 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


Activities of Daily Living/Symptoms/Medications - Required

This lets us know the activities that you perform daily and any symptoms of discomfort. It also allows us to know what prescription and non-prescription drugs that your are currently using.

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign up using the form below or call 763-684-4646 to make an appointment.

THIS ---->https://ahcbuffalo.com/new-patient-center/online-forms.html

Office Hours

Day
Monday8:305:45
Tuesday35:45
Wednesday8:305:30
Thursday45:30
Friday6:15am10am
Saturday8:30am StartProvided no Out of town Children activities.
Sundayclosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 3 8:30 4 6:15am 8:30am Start closed
5:45 5:45 5:30 5:30 10am Provided no Out of town Children activities.

Testimonial

When I hobbled in just over two years ago, I felt 78 years old! Now I feel 24 years old. I am actually 36. Regular Chiropractic Care from Adjust to Health have given me my life back. I feel Better!

Ann B.
Buffalo, MN

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