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Primary Location

6475 Belding Rd. NE

Rockford, MI 49341 US

616-874-2225

Online Forms

West Michigan 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 Forms - 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!

Download and Print Here

For children under 12 please also complete the Pediatric Case History form below.

Children Under 12



Download the Free AdobeReader®

EXCLUSIVE OFFER!! New to the office?? We would like to give you a FREE Consultation**

Sign-up using the form or call us at 616-874-2225 to take advantage of this exclusive offer.

Location

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Office Hours

Our Regular Schedule

Rockford Office

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Friday:

Closed

Saturday:

By Appt

Sunday:

Closed