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Online Forms

Live Well Chiropractic 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 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 Forms - Required

New Patient Intake Form
Download & Print Form

Pediatric Form
Download & Print Form

Pregnancy Form
Download & Print Form



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Locations

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Office Hours

Rochester Hills Office

Monday:

10:00am - 1:00pm

3:00pm - 7:00pm

Tuesday:

10:00am - 1:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Thursday:

Closed

Friday:

10:00am - 1:00pm

3:00pm - 6:00pm

Saturday:

9:00am - 12:00pm

Sunday:

Closed

Royal Oak Office

Monday:

9:00am - 8:00pm

Tuesday:

9:00am - 8:00pm

Wednesday:

9:00am - 8:00pm

Thursday:

9:00am - 8:00pm

Friday:

9:00am - 7:00pm

Saturday:

9:00am - 2:00pm

Sunday:

Closed