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Online Forms

Tenold Chiropractic Health & Rehab Clinic offers our patient form(s) online so you can complete 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 Forms

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!

Adult

Minor-Birth to 5 years old

Patient Update Forms are needed if it has been longer then 3 months since your last visit.

Update Form for Existing Patients


Nutrition Forms

Nutrition Health History

Identi-T Stress Assessment

Health Appraisal Questionnaire

Metabolic Detoxification Questionnaire



Download the Free AdobeReader®

Contact Us Today

We look forward to hearing from you

Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am-12:30 pm

2:00 pm-5:30 pm

Tuesday:

8:30 am-12:30 pm

2:00 pm-5:30 pm

Wednesday:

8:30 am-12:30 pm

2:00 pm-5:30 pm

Thursday:

8:30 am-12:30 pm

2:00 pm-5:30 pm

Friday:

8:30 am-12:30 pm

2:00 pm-5:30 pm

Saturday:

By Appt Only

Closed

Sunday:

Closed

Closed