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Rogers Chiropractic Center 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.


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!

Please click on the link below fill out the form as detailed and complete as you can.  Sign the bottom and click the SUBMIT BUTTON prior to your first visit.

Fill Out Form Online


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

THIS ---->https://rogerschiropractic.chiromatrixbase.com/online-forms.html

Office Hours

Day
Monday7:30 - 1:003:00 - 6:00
TuesdayClosed3:00 - 7:00
Wednesday7:30 - 1:003:00 - 7:00
ThursdayClosedClosed
Friday7:30 - 1:003:00 - 6:00
Saturday9:0012:00
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30 - 1:00 Closed 7:30 - 1:00 Closed 7:30 - 1:00 9:00 Closed
3:00 - 6:00 3:00 - 7:00 3:00 - 7:00 Closed 3:00 - 6:00 12:00 Closed

Products

Wellness Through Nutrition

 Therapeutica Inc

    Pillows and back supports

Posture Medic Logo

    Posture Medic product shots

Home

                              

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 Offering gentle computerized hands free adjusting

NOW ACCEPTING CARE CREDIT.  FINANCING OPTIONS, MADE EASIER.


Testimonial

Thank you for what you have done and continue to do.

Sandy Ballew

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