Online Forms

Pedersen Chiropractic Center offers our patient form(s) online so they can be completed 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.

Chiropractic Registration And History

Download & Print Form


HIPAA Notice of Privacy Practices 2020

Download & Print Form


Pain Diagram

Download & Print Form


Download the Free Adobe Reader®

CONTACT US TODAY

We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Pedersen Chiropractic Office

Monday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Thursday:

Closed

Friday:

8:00 am-12:00 pm

2:00 pm-7:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Closed

New Patient Times:

Mon - Wed, Fri, Sat

8:30am
10:00am
2:00pm
3:30pm