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Complete Your New Patient Paperwork

Step 1: Select Your Form

Choose the intake form that best applies to your condition.

Step 2: Complete & Submit Online

Fill out all sections and submit the form before your first visit so we can prepare for your appointment.

Step 3: Done

Once submitted, youā€™re all set. Weā€™ll take it from there.
Prefer paper instead? Download the printable form here and bring it with you to your appointment.
Download PDF Version instead

Health Information

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Back Pain Questionnaire

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Neck Pain Questionnaire

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Neuropathy Questionnaire

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Neuropathy Intake Form

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PDF Versions

American Chiropractic Medical Services offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReaderĀ® to view them.
  • If you do not already have AdobeReaderĀ® installed on your computer,
    Click HereĀ to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
Download Patient Paperwork

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American Chiropractic Medical Services

Clinic Opening Hours

Marine City

Monday
10am - 1pm 
3pm - 6pm
Tuesday
Closed
Wednesday
10am - 1pm 
3pm - 6pm
Thursday
Closed
Friday
10am - 1pm 
3pm - 6pm
Weekends
Closed

Auburn Hills

Monday
Closed
Tuesday
11am ā€“ 6pm

Wednesday
Closed
Thursday
11am ā€“ 6pm

Friday
Closed
Weekends
Closed

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