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River Falls Chiropractic, Inc. offers our patient form(s) online so they can be completed 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.

Financial Disclaimer Form

Download & Print Form


New Patient Health History Form - For Adults

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

New Patient Health History Form - For Children

This lets us know the history and current state of the child's health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Motor Vehicle Accident History Form

Download & Print Form

Workers Compensation History Form

Download & Print Form

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Contact

River Falls Chiropractic, Inc.
215 N. Second St.
River Falls, WI 54022
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  • Phone: 715-425-6665
  • Fax: 715-425-6677
  • Email Us

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