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Online Forms

Dixon Center for Integrative Health Care offers our patient form(s) online so they can be completed it in the convenience of your own home or office. The PDFs below are interactive. You can download them, fill them out and send them back to our office by mailing them to: [email protected] You may also print them and fill them out the old fashioned way, or come in 20 minutes early and fill them out in our lobby.

CHIROPRACTIC PATIENTS

Patient Intake Form

Consent to Treat Minor (Under 18) Form


MEDICAL PATIENTS

Patient Intake Form

Consent to Treat Minor (Under 18) Form

Allergy Testing Form


WORKER'S COMPENSATION PATIENTS

Worker's Compensation Questionnaire


PERSONAL INJURY PATIENTS

Personal Injury Questionnaire


ALLERGY SURVEY

Allergy Survey


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.

Bring completed form(s) with you to your appointment.

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Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

9:00 am-12:00 pm

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Had no idea these folks provided integrated healthcare! Today was my first visit. My chiropractor of 26 years retired suddenly 2 weeks ago and I have been in debilitating pain from my sciatica since then. The entire staff was kind and helpful, and listened intently to my "pain story." Dr Diaz was incredible, and I walked out the door with greatly-diminished pain. Excited about my continuing care with them. Praise God!"
    -Kimberly D
  • "First chiropractic experience, I am impressed with everyone there and the level of care and knowledge, great communication skills, feeling confident the treatments are already improving my situation!"
    -Dan E.