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Online Forms

Alpine Chiropractic 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.

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!

Fill out our New Patient Form Online

Or

Download & Print Form (New Patient Paper Work)



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday:

6:30 am-1:00 pm

Tuesday:

8:00 am-12:30 pm

2:30 pm-5:00 pm

Wednesday:

6:30 am-1:00 pm

Thursday:

8:00 am-12:30 pm

2:30 pm-5:00 pm

Friday:

6:30 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "If someone had told me 5 years ago that my back would feel as good as it does today I would not have believed them. My low back hurt every day because of standing on cement floors; loading the wood stove was a painful event. In 1992 I began going to chiropractors but still struggled with back pain. Then in 2010 I started getting my back adjusted by Dr. Puroll and I can't believe the difference, I can't believe how good it feels now. The Activator method has by far been the best for me.."
    Duane R. Gaylord, MI
  • "In 2006 I was in a snowmobile accident. I broke my elbow and fractured every bone in my face among other injuries. In time I healed from these injuries but I was having a pain in my shoulder, more specifically at my collarbone. I was in constant pain with it and it was prone to feeling ice cold. I told my doctor of the pain and my shoulder was x-rayed and I had a CT scan and it revealed nothing but soft tissue trauma from the accident. This went on for five years.

    Then I came to Dr Puroll because I was having low back pain and I told her of my shoulder pain. She found my collarbone out of alignment. She made a few simple, painless adjustments and I cannot believe the results. It is amazing. My shoulder is so much improved ' what a wonderful relief!"
    Bob N.

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