Online Forms

Prescott Chiropractic offers our patient form(s) online so you can complete 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!

Adult Intake Form

Pediatric Intake Form

Pregnancy Intake Form

Medicare Intake Form


Other Forms:

Financial Disclosure Form

Consent to treat Minor

General Release of Information




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Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

AM by appt only

1:30 pm-6:30 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I have benefitted tremendously from the chiropractic care I received from Dr. Anderson. Not only has the adjustments helped alleviate my stiffness and aches, but it has helped me have more energy and just feel more balanced over all. A few months ago, I was able to resume a favorite hobby of mine: golf. Due to my previous pain, I never thought that’d be possible."
    Back Pain
  • "I was very impressed with the chiropractic care I received from Dr. Anderson. I had received chiropractic in the past for my neck pain, but not to this level of care. After only a few sessions, my symptoms began to disappear, especially my neck pain, and I know I would not have been able to perform to my everyday work functions without the treatment I received."
    Neck Pain
  • "I recently joined Prescott Chiropractic and have been having regular adjustments. I am feeling better with every visit. I am so impressed with the friendly atmosphere, the staff and the doctors. I would definately recommend this clinic to all of my family and friends."
    Bonnie - Prescott, WI
  • "My family and I started going to the Prescott Chiropratic since May of this year We have been going to chiroprators for many years but since we have started going I can not explain it but I have not felt this good in years I have recommend Prescott Chiropratic to many friends and family (THANKS) for keeping me moving."
    Vicky
  • "I have been to many clinics around this area. These guys are great - friendly staff, excellent doctors. They have a wellness focus, see families, and have affordable payment plans!"
    David