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Millard Oaks Chiropractic 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.

  • 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!

Complete Form Online


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

We are joining Channel 94.1's Diaper Drive for the Lydia House!
From December 1st-16th, we are a collection site for diapers for infant children. 
We invite our patients and the community to contribute!

THIS ---->https://millardoakschiropracticcom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8am - 11am3 - 6pm
Tuesday3:00pm6:00pm
Wednesday8 am-11am3 - 6pm
Thursday8am- 11am3- 6pm
Friday8am11am
Saturday9:00am11:00am
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am - 11am 3:00pm 8 am-11am 8am- 11am 8am 9:00am Closed
3 - 6pm 6:00pm 3 - 6pm 3- 6pm 11am 11:00am Closed

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