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Online Forms

Sauk Prairie Chiropractic Llc 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 AdobeReaderĀ® 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

Personal Health History Form - Required

Download & Print Form

Family History Form - Required

Download & Print Form

Informed Consent Form - Required

Download & Print Form

Medical System Review Form - Required

Download & Print Form

Office Hours

Our Regular Schedule

Primary Location


8:30 AM-6:00 PM


8:30 AM-5:00 PM


8:30 AM-6:00 pm


8:30 AM-12:00 PM


8:30 AM-6:00 PM


7:30 am-9:00 am



Sauk Prairie Chiropractic LLC