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Online Forms

Chiropractic Wellness Center 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.

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!

1. Intake Form:

This is a link to fill out our online intake paperwork.

https://intake.mychirotouch.com/?clinic=CFWC0005

Welcome Letter

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

New Patient Information

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

Pediatric Patient Information (0-12 years)

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

Acupuncture Consent Form

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

Motor Vehicle Accidents

Download & Print Form

Massage Intake Form 

Download & Print Form


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Exclusive Offer

New Patients Receive a Free Consultation

Office Hours

Our Regular Schedule

Primary Office

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "Friendly staff, very accommodating with my schedule. Dr Overschmidt is very knowledgeable, and had me walking better in no time."
    Marc
  • "Dr Overschmidt and staff are FANTASTIC!
    My migraines have been so much better since getting routine adjustments.
    They also offer massages in the office and Ashley does great work!"
    Jenn
  • "The staff and Dr. Delia are amazing! Very personable and professional"
    Monica
  • "The staff here is very friendly and efficient. The office itself is always clean and comfortable."
    Amanda
  • "After neglecting my spinal health for far too long, I found myself in a lot of pain. Dr. Overschmidt and the staff rescued me! I 'm really impressed with their commitment to creating the best treatment plan for me to reach my health goals. Flexibility in scheduling, a friendly, professional atmosphere, help with insurance questions, they have it all covered! Highly recommend."
    Kristin
  • "Dr. Overschmidt and the staff really care about relieving pain and making daily life better. The entire staff is kind and helpful and Dr. Overschmidt takes as much time as needed with you too make sure you get the care you need. I highly recommend them."
    Steve
  • "I came to Chiropractic Family about a month ago and will forever continue to. The staff is very friendly and welcoming. They know who you are and treat you like family. The office it self is very clean and comfortable. Dr. Delia Overschmidt has done an amazing job with my lower back and right shoulder, I haven’t felt this good in years."
    Kylie
  • "I came to the Chiropractic Family Wellness Center with a painful neck and back. Thank goodness for Dr. Overschmitt! She gave me my life back. I consider myself an active person and with her treatments I’m able to do those activities again. Everyone is fantastic at the center."
    Phil
  • "I've been going here for a few months now. All of the ladies are very nice, and I'm very happy with the service! They're actually there to make me feel better, not just take my money and get me in and out as fast as possible!"
    Maggie

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