Online Forms

Maple Lake Chiropractic 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.

  • 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.

Pediatric Patient Questionnaire - 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


Adult Patient Questionnaire - 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


Pregnancy Questionnaire

Download & Print Form



Download the Free AdobeReader®

Our office is open! We will not be taking any walk in appointments until further notice, to schedule just call our office or email us at drgregory@maplelakechiros.com All patients who enter our office will be screened with a health risk assessment and temperature reading prior to treatment. Thank you for choosing us as part of your health care team!

Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-11:30 am

1:30 pm-6:00 pm

Tuesday:

7:30 am-1:30 pm

Wednesday:

8:00 am-11:30 am

1:30 pm-6:00 pm

Thursday:

2:30 pm-6:30 pm

Friday:

7:30 am-1:30 pm

Saturday:

Closed

Sunday:

Closed