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®

HOLIDAY HOURS: We will be closed Thursday December 24th, Friday December 25th, Thursday Dec 31st and Friday January 1st to celebrate the holidays with our family! We'll return January 4th for normal business hours.

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