New Patient Paperwork

The Chiropractic Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

  • Adult Patient Intake Form

    Click to Download

  • Child Patient Intake Form

    Click to Download

OFFICE HOURS

Monday
9:00am - 5:30pm

Tuesday
9:00am - 5:00pm

Wednesday
9:00am - 5:30pm

Thursday
9:00am - 5:30pm

Friday
Closed

Saturday & Sunday
Closed

The Chiropractic Wellness Center

109 S Center Ave
Merrill, WI 54452

(715) 539-9797