Online Forms

Choice Chiropractic and Wellness 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!

New_Patient_Information

Patient_Health_History


Other Forms: 

HIPAA Form

Informed Consent Form

Auto Accident Questionnaire



Download the Free AdobeReader®

Sign up using the form below or call (480) 888-7383 to make an appointment.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Shiflet, I just wanted to thank you for everything you have done for my health. After 3 years of being at my worst healthwise, you have brought me to my best and I appreciate it more than words can say. You care about your patients and that is what makes you a wonderful doctor. Thanks again so much!!!"
    Natalie

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