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Online Forms

Zeeland Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!

Location

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Office Hours

Our regular schedule
Monday:
08:00 am - 06:00 pm
Tuesday:
Appointment Only
Wednesday:
08:00 am - 06:00 pm
Thursday:
Appointment Only
Friday:
08:00 am - 06:00 pm
Saturday:
Closed
Sunday:
Closed

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Testimonials
Reviews By Our Satisfied Clients
"Date: 3/22/13
What are you being treated for?
Knee Pain, Fell on Ice
How long have you had symptoms?
10 days when treatment started
What treatments have you tried in the past?
No
How has your life changed since starting treatments?
No pain after 10 days and no pain after 5 treatments
Would you recommend Pulsed Electro-Magnetic Field Therapy? Yes"
Patient 3873
"Date: 03/18/13
What are you being treated for?
Sore Shoulder
How long have you had symptoms?
3 months
What treatments have you tried in the past?
None
How has your life changed since starting treatments?
Feels better
Would you recommend Pulsed Electro-Magnetic Field Therapy? Yes"
Patient Number: 3098