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Online Forms

Active Chiropractic and Wellness 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!

    Download & Print Form


    Download the Free AdobeReader®

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    Office Hours

    Our Regular Schedule

    Monday:

    7:30 am-5:00 pm

    Tuesday:

    7:30 am-5:00 pm

    Wednesday:

    7:30 am-5:00 pm

    Thursday:

    7:30 am-5:00 pm

    Friday:

    By Appointment

    Saturday:

    Closed

    Closed

    Sunday:

    Closed

    Closed

    Testimonials

    Reviews By Our Satisfied Patients

    • ""The BEST in chiropractic care!!! Love you guys!!!""
      Benita A. - Ellsworth, ME