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Raef Chiropractic 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 Intake Form 

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


Auto Accidents

Download & Print Form


Patient Consent Form

Download & Print Form


Consent to Treatment of a Minor Form

Download & Print Form



Download the Free AdobeReader®

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

Office Hours

DayMorningAfternoon
Monday8:30am5:30pm
Tuesday8:30am5:15pm
Wednesday8:30am12:00pm
Thursday8:30am5:30pm
Friday8:30am4:30pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am 8:30am 8:30am 8:30am 8:30am Closed Closed
5:30pm 5:15pm 12:00pm 5:30pm 4:30pm Closed Closed

Office will be closed Friday, Dec 22nd through Tuesday Dec 26th.
We will open on Dec 27th, 28th and 29th.

New Year's hours:
Office will be closed Monday Jan 1st, 2018.
We will open on Tuesday Jan 2nd, 2018.

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