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Online Forms

Brainard Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or 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 Form - 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!

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Location

Click the map to view the location nearest to you

Office Hours

Our regular schedule
Primary Location
Monday:
08:00 am - 01:00 pm
01:00 pm - 06:00 pm
Tuesday:
08:00 am - 11:00 am
01:00 pm - 06:00 pm
Wednesday:
08:00 am - 11:00 am
01:00 pm - 06:00 pm
Thursday:
09:00 am - 12:00 pm
CLOSED
Friday:
08:00 am - 11:00 am
01:00 pm - 06:00 pm
Saturday:
Closed
Sunday:
Closed

NEWSLETTER SIGNUP

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Please do not submit any Protected Health Information (PHI).
Testimonials
Reviews By Our Satisfied Clients
"Dr. Chvatal is fantastic! I had the pleasure of being adjusted by him over the course of the last three years. A great recommendation for you & your family!"
Shane H.
"Dr. Chvatal Really cares about his patients. He is dedicated to helping resolve even if it takes a little longer. Your not just a number here."
Kevin S.