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Grafton & Park River Chiropractic Clinic offers our patients forms online, so they can be completed in the convenience of your own home or office.

If you would click on this link below, fill out all areas of the form, and submit it, it will automatically be forwarded to our clinic. (You can always print it and fill it out too!)  Please follow all instructions and call us if you are having trouble. If you submit this form correctly, you do NOT have to print and bring it in with you to your appointment!



Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form

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We strive to provide complete care for our patients. Learn more about all the services we provide.
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Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.