Dodge Center Chiropractic Office offers our patient form(s) online so they can be completed 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 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


Sports Physical Form

Download and Print Form




Download the Free AdobeReader®

Office Hours

We can normally accommodate walk-in appointments. Dr. Klein is sometimes gone on Friday afternoons to travel to seminars, so just call ahead!

Monday

8:00 am - 5:30 pm

Tuesday

Closed

Wednesday

8:00 am - 5:30 pm

Thursday

8:00 am - 5:30 pm

Friday

8:00 am - 3:00 pm

Saturday

Closed

Sunday

Closed

Monday
8:00 am - 5:30 pm
Tuesday
Closed
Wednesday
8:00 am - 5:30 pm
Thursday
8:00 am - 5:30 pm
Friday
8:00 am - 3:00 pm
Saturday
Closed
Sunday
Closed

Location

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CONTACT US

We look forward to hearing from you