New Patient Center

Lake Health and Chiropractic offers our patient form(s) online so they can be completed 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.


Everyone has to print out the attached Health History form and bring to first appointment.

Health History Form

Download Form

18 Years Old and Older Fill Out Online Form:
Fill Out Online Form

Pediatrics (ages 4-18) Form

Download Form

Infant/Toddler (ages 0-3) Form

Download Form


Download the Free Adobe Reader®

Monday

8:00 am - 5:30 pm

Tuesday

8:00 am - 5:30 pm

Wednesday

8:00 am - 5:00 pm

Thursday

8:00 am - 5:30 pm

Friday

8:00 am - 12:00 pm

Saturday

Closed

Sunday

Closed

Monday
8:00 am - 5:30 pm
Tuesday
8:00 am - 5:30 pm
Wednesday
8:00 am - 5:00 pm
Thursday
8:00 am - 5:30 pm
Friday
8:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed

Locations

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CONTACT US TODAY

We look forward to hearing from you