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