At Lake Michigan Chiropractic, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms to 269-408-8790 or you may bring them during your visit.

New Patient 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)

If you do not have AdobeReader® installed on your computer, Click Here to download.