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

New Patient Waivers
Download & Print Form

Pediatric Form
Download & Print Form

Pregnancy Form
Download & Print Form



Download the Free AdobeReader®

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Locations

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Office Hours

Rochester Hills Office

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-1:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

Closed

Friday:

10:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Royal Oak Office

Monday:

8:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

9:00 am-1:00 pm

Sunday:

Closed