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Online Forms

Adjust 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.

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!

Download & Print Form



Download the Free AdobeReader®

Location

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Office Hours

*For Emergencies, please call 405.567.5717

Prague Office

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "My daughter has been having many health problems. Dehydration, fatigue, stomach and heartburn issues. She went into Adjust and has found relief from these problems. It is amazing what good chiropractic care can fix. The staff at Adjust are helpful and kind. I highly recommend their expertise."
    -Kendra Schultz