Patient Forms

Accelerated Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. We have taken measures with these forms so redundancies are eliminated, (such as having to write your name on ALL forms). Therefore, works best if you open the form in AdobeReader and TYPE your information into the form before printing to sign each page.


At Accelerated Chiropractic & Natural Healing Center, LLC, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring a printed copy to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax or email us your completed form(s) or bring it with you to your appointment.

  • Medicare Plans

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  • PI or WC

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  • MN Care or MA

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  • Auto Accident or Workers Compensation

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  • All others (BCBS, Preferred One, Medica, etc.) or No Insurance Coverage

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  • Knee Entry Forms

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  • Neuropathy Intake Form

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  • Additional REQUIRED Forms To Be Completed (if Applicable) Consent To Treat a Minor – MUST BE FILLED OUT IF PATIENT IS A MINOR

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