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Request an Appointment

North Michigan Ave. Chiropractic offers our patient form(s) online so they can be completed 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 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!

Download & Print Form

Member Wellness Registration  - Optional

Sign up for our Member Wellness Program!  This will give you direct access to your personal advice, exercises, and stretches online.  You can also choose to sign up for our monthly newsletter that will keep you up on current health issues, news and events in our office. We look forward to making your experience with our office and website more interactive and rewarding!



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