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Request Appointment


Lakeville Family Health Clinic 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/React (Haven't been in within the last 6 months) 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!

Click here to download & Print Form

First Time Nutrition Response Test (NRT) Paperwork

Click here to download & print the paperwork

Acupuncture Paperwork

Click here to download & print the paperwork (Page 1)

Click here to download & print the paperwork (Page 2)

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