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Wellspring Family Chiropractic 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 - 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!

Download & Print Form



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

Office Hours

DayMorningAfternoon
Monday8:00am6:00pm
Tuesday8:00pm3:00pm
Wednesday8:00am6:00pm
ThursdayClosedClosed
Friday8:00am6:00pm
SaturdayBy Appt.Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 8:00pm 8:00am Closed 8:00am By Appt. Closed
6:00pm 3:00pm 6:00pm Closed 6:00pm Closed Closed

Testimonial

"Sharp pains in my knee have been a problem since I was in the 5th grade and had surgery on the growth plates. The pain has gone from a 5 to a 1 after seeing Dr. Bolton. He is a great man, and everyone needs to see him. He knows what he is doing!"

Amanda Randolph
Cookeville, TN

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