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Backsmart Wellness Center 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.


Confidential Health Patient Form

Please download, print and fill out this form and bring it with you to your first appointment.

Download & Print Form


Información De Salud Confidencial (en Español)

Please download, print and fill out this form and bring it with you to your first appointment.

Download & Print Form


General Examination Patient Form

Download & Print Form


Nutrition Form

Download & Print Form


Auto Injury Form

Download & Print Form


Download the Free AdobeReader

Request an Appointment

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

Office Hours

DayMorningAfternoon
Monday9:00 - 1:002:00 - 7:00
Tuesday9:00 - 1:002:00 - 7:00
Wednesday9:00 - 1:002:00 - 7:00
Thursday9:00 - 1:00*2:00 - 5:00*
Friday9:00 - 1:002:00 - 6:00
Saturday8:30 am2 pm
SundayClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 1:00 9:00 - 1:00 9:00 - 1:00 9:00 - 1:00* 9:00 - 1:00 8:30 am Closed
2:00 - 7:00 2:00 - 7:00 2:00 - 7:00 2:00 - 5:00* 2:00 - 6:00 2 pm

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