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!

Lindenwoods Chiropractic offers this form online so it can be completed at your convenience. 

• Download the form by clicking here, print it out and fill it in.
• Fax it to us at 204-475-2510 OR bring it with you for your appointment.

(You need Adobe Reader to download the form.  If you do not have Adobe Reader, download it here .)

"Member Wellness" section of our website:  Invitation

We invite you to register for access to the Member Wellness section of our website where you will find many health tips and exercises that Dr. Dan is sharing with you. Look for the button "Become a website member" on the bottom right side of this page .

Monthly Newsletter:  Invitation

You can also sign up for our monthly email newsletter that Dr. Dan sends out to keep you up on current health issues and news and events in our office.  The sign-up for this is also on the  bottom right side of this page.

We look forward to making your experience with our office and website more interactive and rewarding!