Back To Life Natural Health Center

Healthcare Through Natural Methods

 

2960 Winnetka Ave. N. Suite 110, Crystal, MN 55427

Phone 763-546-3736       Fax 763-546-3807

 

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New patients will need to fill out some forms so we can have your health history and symptoms listed in your chart.

If you are coming in because of structural/strictly Chiropractic reasons such as back or neck pain, joint injuries etc., click on the Structural Patient button below to download and print your new patient forms.

                                                        Structural

If you made your appointment because you have other health concerns such as diet or supplement questions, chronic health conditions etc., click on the Internal Patient button below to download and print out your new patient forms.

                                                        Internal               

Please fill out your forms as completely as possible and bring them with you for your appointment.

                                                         FirstLine Therapy  

 NOTE: You will need Adobe Acrobat Reader to open and print the forms.  If you do not have it you can click here to download it,

or call our office and we can fax or mail the forms to you.

 

 

 

 

 

 

 

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