Online Forms

Grass Lake Chiropractic Center offers our patient form(s) online so they can be completed 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 Acceptance 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!

Download & Print Form

Adult Patient Questionaire

Download & Print

Pediatric Patient Questionaire

Download & Print

Pregnancy Patient Questionaire

Download & Print



Download the Free Adobe Reader®

Hours of Operation

Monday

10:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday

3:00 pm - 6:00 pm

Wednesday

10:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday

3:00 pm - 6:00 pm

Friday

10:00 am - 12:00 pm

3:00 pm - 6:00 pm

Saturday

Closed

Sunday

Closed

Monday
10:00 am - 12:00 pm 3:00 pm - 6:00 pm
Tuesday
3:00 pm - 6:00 pm
Wednesday
10:00 am - 12:00 pm 3:00 pm - 6:00 pm
Thursday
3:00 pm - 6:00 pm
Friday
10:00 am - 12:00 pm 3:00 pm - 6:00 pm
Saturday
Closed
Sunday
Closed

Our Location

Contact Us

We look forward to hearing from you