Online Forms

At 50th & France Chiropractic & Wellness, we offer patient forms online so you can complete them in the convenience of your own home or office.

Bring your completed forms to your visit or send them in advance:

• Fax: 952-927-4226

• Email: doctor@edinachiropractic.com

New Patient Forms

• New Patient Paperwork
• Children’s New Patient Paperwork
• Nutritional Consultation Questionnaire

Other Forms

• UnitedHealthCare/Medica Prior Auth Form

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