Online Forms

Laurel Street Chiropractic & Rehab offers our patient form(s) online so they can be completed 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!

Patient Intake Form

Patient Health History

Privacy Practice, Consent to Treat & Release Form


Download the Free Adobe Reader®

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:00 am

6:00 pm

Tuesday:

9:00 am

6:00 pm

Wednesday:

9:00 am

6:00 pm

Thursday:

9:00 am

6:00 pm

Friday:

9:00 am

6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonial

Reviews By Our Satisfied Patients

  • "This Chiropractor really knows his stuff and has been in practice a long time. He really helped me with my neck and back pain and his massage therapists are really awesome !"
    Ralph - Anchorage, AK