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Online Forms

United Health Chiropractic offers new patient intake form(s) online so they can be completed at your convenience. 

You can fill out your new patient intake forms online or, download a paper form to bring to your appointment. 

  • Fill out your patient intake online HERE

OR

  • Download and print the necessary form(s) and fill in the required information.
  • Fax your printed & completed form(s) to 701-232-9588 or bring them with you to your scheduled appointment.
  • If you are printing forms and do not already have AdobeReader® installed on your computer, click here to download.

New Patient Paperwork (15 y/o and up)

Download & Print Form  or fill it out online HERE  

New Patient Paperwork Pediatric (14 y/o and under)

Download & Print Form or or fill it out online HERE  



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Locations

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United Health Chiropractic

CLEAR Scoliosis Center

Office Hours

Monday:

8:00 am-5:15 pm

Tuesday:

12:00 pm-5:15 pm

Wednesday:

8:00 am-5:15 pm

Thursday:

7:00 am-11:00 am

Friday:

8:00 am-4:30 pm

Saturday:

Closed

Sunday:

Closed