New Patient Paperwork

Tri-States Chiropractic Health and Injury Care offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
OFFICE HOURS
Monday9:00am - 12:30pm
2:30pm - 6:00pm
Tuesday9:00am - 12:30pm
2:30pm - 6:00pm
Wednesday9:00am - 12:30pm
2:30pm - 6:00pm
Thursday9:00am - 12:30pm
2:30pm - 6:00pm
Friday9:00am - 12:30pm
SaturdayClosed
SundayClosed
Chiropractic Dubuque IA Office Logo

Tri-States Chiropractic Health and Injury Care
5025 Wolff Road #101
Dubuque, IA 52002
(563) 585-0800

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