Online Forms

Semlow Chiropractic 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!

Download & Print Form


 New Patient Pediatric Health History Form - Required (for ages 12 and under)

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


 HIPPA/Privacy Policy - is for your information only

Please read this document and sign the HIPPA statement that you have done so on the last page of the New Patient Health History Form or New Patient Pediatric Health History Form

Download & Print Form



Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

7:30 am-12:30 pm

2:30 pm-6:00 pm

Tuesday:

1:00 pm-5:30 pm

Wednesday:

7:30 am-12:30 pm

2:30 pm-6:00 pm

Thursday:

7:30 am-12:30 pm

2:30 pm-6:00 pm

Friday:

Closed

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I was so pleased with the quality of your services that I've already scheduled appointments for my three boys, convinced my husband to switch over to your office, and printed off your forms for a colleague and his family. Everything about your office has exceeded my expectations….from the way the massage sheets smell to the bottle of water that was handed to me after my massage. Thank you for such a positive experience and for putting me back on the road to a healthy spine and happier life."
    Carrie
  • "Very positive environment, great experience."
    K. Lehman
  • "When this injury first occurred, my own doctor and the E.R. did not take it seriously; however your practice did. You made time to see me and help with the pain. I want you to know I truly appreciate all the effort you gave. My back is feeling much better. Again, thank you! You are a great staff."
    C. Johnson
  • "“The office staff is awesome and so nice! My first appointment was VERY thorough and I could tell the standard here is for whole body care and to find the root of the issue, not just treat areas of complaint. I love it here already!”"
    Madelynn K.
  • "“I’m very impressed with everything at this office. From the moment I called to each adjustment. Both doctors have been very kind and helpful. All staff have been great, too. Thank you all for getting my kinks out!”"
    Jill H.
  • "“I am very impressed with the professionalism and kindness shown by all the staff! Extremely personable and caring. Highly recommend Semlow to anyone in need of back and overall health improvement. Thank you!!!”"
    Julianne B.
  • "Your staff is wonderful. Keep up the great work. I look forward to my future visits and know I will find wellness with your help and guidance."
    T. Hatinger
  • "An amazing staff that is very educated and kind. Office environment is very calming and pleasing. I like that I never feel pressured to buy “extra’s.” I feel part of your patient family and this is only my 2nd time here."
    Kasey S.