Online Forms

Alive and Well 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 our Patient History and Stress Profile forms and fill in the required information.
  • E-mail us your completed forms to [email protected]
  • Or print them and bring with you to your appointment.
  • IF YOU DON'T FILL THESE OUT ONLINE, please come 15-20 minutes early for your appointment.

New Patient Forms (2)

These let us know the history and current state of your health, your conditions, and the factors that play into your present and future well-being. Please fill out both forms below and e-mail or print them.

Complete History Form Online

Complete Stress Profile Online



Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

Tuesday:

9:00 am-1:45 pm

Wednesday:

2:00 pm-6:45 pm

Thursday:

9:00 am-1:45 pm

Friday:

2:00 pm-7:00 pm

Saturday:

by appt only

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "This was my first time coming to a chiropractor and it was amazing. The Doctor explains everything and shows you what is going on. Makes you completely comfortable. Plus there was a 60 min massage after. If you thought your poster was good, you walk out feeling great. Staff is wonderful, would recommend it."
    Patricia S
  • "I'm so happy that I found this place, and that it is so close to my office. Dr. Gerry is awesome, down to earth, so welcoming and understanding. He really takes the time to listen to what you want, and need, and he does all that he can for you to reach your healing goals. Dr. Gerry his staff create an environment that allows you to accept their healing energies. I find that weekly adjustments and massages really help me to heal from not only rigorous physical activity, but also from daily stressors. My massage therapist (I cannot recall his name) was INCREDIBLE - very likely the best deep tissue/sports massage that I have ever received.
    I would recommend this office to anyone who seeks a deeper connection to their very essence, who wants to heal, and create and nurture positive healing energy."
    Ben L
  • "Dr Gerry is amazing. I went there with a terrible back pain. After I finished the whole session I felt half of my pain has gone."
    Erin D