SAME DAY APPOINTMENTS AVAILABLE! (989) 837-5998

New Patient Paperwork

Preferred Chiropractic of Midland 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.

Download & Print Disability Questionnaire Form – Required

Download & Print Family Health History Form – Required


Download & Print Patient Information Form

 – Required


Download & Print HIPAA Form – Required




Download the Free AdobeReader®

 

 

Our Address:

214 W Wackerly St #100
Midland, MI 48640

Our Patient Hours:

Morning Afternoon
 MON 10am - 1pm 3pm - 6pm
 TUE Closed 3pm - 6pm
 WED 10am - 1pm 3pm - 6pm
 THU Closed 3pm - 6pm
 FRI 10am - 1pm 3pm - 6pm
 SAT Closed Closed
 SUN Closed Closed