Taking care of our bodies is an important part of enhancing our connection to the life-sustaining forces in and around us. We do this by engaging in healthy lifestyle behaviors and choices, of whi ...View Article
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Health and Wellness Center of Mid America 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.
To be completed by all new patients – unless you are being seen for injuries resulting from an auto accident or that are work related. (See below for auto/work injury forms.)
Returning Patient forms
Approval of supervisor or Human Resources representative required for all work related injuries. Expediency and accuracy in the completion of this form will allow us to treat you in a more timely manner.