Midland Family 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! Please print and fill out, then bring with on your first visit. If you have any questions feel free to call! 763-546-8622
Client Testimonial
I travel a fair amount which results in long trips spent on airplanes and sleeping in uncomfortable hotel beds. But because I am under the regular care of Dr. Philips, I am able to maintain my health and prevent reinjuring myself. In addition to Dr. Philips’ great treatment approaches, he has a comforting and caring demeanor. I would recommend Midland Family Chiropractic to any friend, family member, or acquaintance.
Kate Siegrist-
New Hope, MN
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2738 Winnetka Ave North
New Hope, MN 55427
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- Phone: 763-546-8622
- Fax: 763-546-0059
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