8038 S. State St.
                                                                                                                                         Midvale, Utah 84047
                                                                                                             (801)-569-1250












Office Hours
Tues.-Fri. 10am-7pm
Sat. 10am-3pm

Wellness Chiropractic
8038 S. State St.
Midvale, Utah 84047
801-569-1250
 
To help make your visit as efficient as possible, please print and completely fill out these forms and bring them on your first visit.
 
     
New Patient forms
 
1. New Patient form
 
2. Cancellation Policy form
 
 
4. Massage Waiver form
 
 
Additional Useful Forms
 
a. Insurance Benefits Form
 
b. Insurance Update Form  
c. Workman's Comp Forms (Link)
 
d. Auto Injury Forms
  
 
If you have any questions on how to fill out a form, please call our office during operating hours at (801) 569-1250



 


©2008 Wellness Chiropractic 8