There is No Risk to see what we can do for you

New Patient Paperwork

Jorgensen Family Chiropractic offers our patient form(s) online so they can be completed 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 them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 5:00pm


Tuesday
10:00am - 6:00pm


Wednesday
9:00am - 5:00pm


Thursday
Closed


Friday
9:00am - 5:00pm


Saturday
By Appointment

Jorgensen Family Chiropractic
808 South Bailey Street #103
Palmer, AK 99645
Phone: (907) 707-1380
Fax: (907) 707-1381