Online Forms

Downtown Dewitt Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

New Patient Health History Form - Required

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!

Download & Print Form

Child History - New Patient Form

Download & Print Form

Consent for Purpose of Treatment

Download & Print Form

Patient Authorization

Download & Print Form

Check-In/Medical Update

Download & Print Form

Terms of Acceptance

Download & Print Form


Download the Free Adobe Reader®

Office Hours

Our Regular Schedule

Dewitt Office

Monday:

8:00 am-6:00 pm

Dr. Jennifer

Tuesday:

7:00 am-6:00 pm

Dr. Jennifer 7-2 | Dr. Terresa 11-6

Wednesday:

8:00 am-6:00 pm

Dr. Jennifer

Thursday:

9:00 am-6:00 pm

Dr. Terresa

Friday:

7:00 am-4:30 pm

Dr. Jennifer

Saturday:

8:30 am-12:00 pm

Dr. Terresa

Sunday:

Closed

Locations

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