DiMartino Chiropractic Center offers our patient form(s) online so they can be completed it 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

 



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DiMartino Chiropractic Center
30120 23 Mile Road
Chesterfield, MI 48047
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Office Hours

DayMorningAfternoon
Monday9:00am - 12:00pm3:00pm - 6:30pm
TuesdayClosed3:00pm - 6:30pm
Wednesday9:00am - 12:00pm3:00pm - 6:30pm
ThursdayClosed3:00pm - 6:30pm
Friday9:00am - 12:00pm3:00pm - 6:30pm
SaturdayClosedClosed
SundayClosedClosed

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