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616-887-2178 H
H

616-887-2178

Online Forms

The BACK SHOP 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. 

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!

Click here to Complete Online  (Submit directly to our office.  Do not print this 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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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!


Exclusive Offer

Call today to schedule your consultation.

Office Hour

DayMorningAfternoon
Monday9 - 12 - 6:30
TuesdayBy AppointmentBy Appointment
Wednesday9- 12 - 6
ThursdayBy Appointment2-6
Friday8- 1By Appointment
SaturdayBy Appt.Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 - 1 By Appointment 9- 1 By Appointment 8- 1 By Appt. Closed
2 - 6:30 By Appointment 2 - 6 2-6 By Appointment Closed Closed