New Patient Paperwork

We are excited that you are ready to take a giant step forward in wellness by visiting our office. When you walk in our doors…you’ll know we are different. Chiropractic, Sports Performance, and so more! We focus on YOU!!!

Once your appointment is made, click, download, and print the forms below that you will need to fill out before you arrive. If you would rather not complete new-patient paperwork in advance, no problem! We kindly ask that you arrive 20 minutes prior to your scheduled appointment so you can fill the forms out in the office.

Fill Out These Forms To Prepare For Your First Visit 

Are you visiting us as a result of an Auto Accident, or Work Related Injury?

Please call us at 636-938-9310 because you will need different forms. 

Please bring the following items with you also:

  • A list of your primary care doctors names / addresses / phone numbers.

  • Current Insurance Card(s) – Please note that all Insurances are contracted differently.  Therefore, if you have any questions about your coverage, we encourage you to contact your Insurance Provider PRIOR TO YOUR VISIT.

  • If a REFERRAL is required, please contact your Primary Care Physician to ensure that you can get a referral.

  • Current Photo ID.

  • The names and dosage amounts of all medication(s), or supplements you are currently taking.

  • A copy of your family medical history.

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Give Us A Call

(636) 938-9310

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Office Hours

Mon: 8:30am to Noon - 1:30pm to 5:30pm

 

Tues: 8:00am to Noon - 1:30pm to 5:00pm

 

Wed: 8:30am to Noon - 1:30pm to 5:30pm

 

Thur: 8:30am to Noon - 1:30pm to 5:30pm

 

Fri:     8:00am to Noon - 1:30pm to 5:00pm

 

Contact us for more information

Sat:    CLOSED

 

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All Rights Reserved.