Online Forms

Lake Michigan 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 forms at 269-408-8790 or bring completed forms with you to your appointment.

Forms for All Patients to Fill Out (Patients should print, fill out, and either fax to our office or bring with you on your first appointment)

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!

Please fill out a separate Problem Information Form for each problem you are experiencing.  One is included in the packet of New Patient Forms above.

Forms for All Patients to View (Patients do not need to print or return these forms)

Download the Free Adobe Reader®