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Online Forms

Borer Family 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.

Chiropractic - New Patient Health History Form - ADULT - (Ages 18 years old & up)

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


Chiropractic - New Patient Health History Form - PEDIATRIC - (Ages 0 to 17 years old)

This lets us know the history of special considerations during the first years and months of life including the birthing process. 

Download & Print Form


Our HIPPA Policy


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Sign Up Using the Form Below or Call 734-944-7200 to Make an Appointment.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

Closed

Thursday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Friday:

8:30 am-11:00 am

2:00 pm-4:00 pm

Saturday:

8:30 am-11:30 am

Sunday:

Closed

Location

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