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50th & France Chiropractic & 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

Children's New Patient Paperwork

Nutritional Consultation Questionnaire

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!



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Office Hours

DayMorningAfternoon
Monday8:00am6:00pm
Tuesday8:00am6:00pm
Wednesday8:00am6:00pm
Thursday8:00am6:00pm
Friday8:00am5:00pm
Saturday9:00am12:00pm
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 8:00am 8:00am 8:00am 8:00am 9:00am Closed
6:00pm 6:00pm 6:00pm 6:00pm 5:00pm 12:00pm Closed

*Saturday massage appointments available.