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Online Forms

Zeeland Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 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!

Patient Health History  Page 1

Patient Health History Page 2



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Office Hours

Our Regular Schedule

Monday:

8:00am

6:00pm

Tuesday:

1:00pm

4:30pm

Wednesday:

8:00am

6:00pm

Thursday:

1:00pm

4:30pm

Friday:

8:00am

4:00pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Date: 3/22/13

    What are you being treated for?

    Knee Pain, Fell on Ice

    How long have you had symptoms?

    10 days when treatment started

    What treatments have you tried in the past?

    No

    How has your life changed since starting treatments?

    No pain after 10 days and no pain after 5 treatments

    Would you recommend Pulsed Electro-Magnetic Field Therapy? Yes"
    Patient 3873
  • "Date: 03/18/13

    What are you being treated for?

    Sore Shoulder

    How long have you had symptoms?

    3 months

    What treatments have you tried in the past?

    None

    How has your life changed since starting treatments?

    Feels better

    Would you recommend Pulsed Electro-Magnetic Field Therapy? Yes"
    Patient Number: 3098