Priority Chiropractic Wellness Center offers our patient form(s) online so they can be completed it 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!Download & Print Form
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!Download & Print Form
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I could not figure out why I was lacking in energy and just did not feel "good". I started getting Chiropractic care with Dr. Todd and he explained to me how Chiropractic care would correct what was wrong in my spine- which was causing interference on my nervous system. Now it all makes sense! I get adjusted regularly now and I feel AMAZING! I have my energy back! Thank you Dr. Todd!
- Marie S. Age 34 (Rice Lake, WI)
Rice Lake, WI
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Ideal Protein Totals
Our dieters at Priority Chiropractic lose 3-5 pounds a week!