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Tenold Chiropractic Health & Rehab Clinic offers our patient form(s) online so you can complete 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 Forms

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!

Adult

Minor-Birth to 5 years old

Patient Update Forms are needed if it has been longer then 3 months since your last visit.

Update Form for Existing Patients


Nutrition Forms

Nutrition Health History

Identi-T Stress Assessment

Health Appraisal Questionnaire

Metabolic Detoxification Questionnaire


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 office. You can print it out and bring it in to our office 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®

Sign up using the form or call us at 715-833-8777.

THIS ---->https://tenoldchiropractic.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:30-12:302:00-5:30
Tuesday8:30-12:302:00-5:30
Wednesday8:30-12:302:00-5:30
Thursday8:30-12:302:00-5:30
Friday8:30-12:302:00-5:30
SaturdayBy Appt OnlyClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30-12:30 8:30-12:30 8:30-12:30 8:30-12:30 8:30-12:30 By Appt Only Closed
2:00-5:30 2:00-5:30 2:00-5:30 2:00-5:30 2:00-5:30 Closed Closed

Testimonials

Tenold Chiropractic has become an important and key element of my own personal health care plan, and I am thankful to have found them.

Andy S.
Eau Claire, WI

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