Online Forms

Miller Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!

Child Form Download & Print Form

Adult Patient Form Download & Print Form 


Accident Form

Download & Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

1:30 pm - 5:00 pm

Tuesday:

7:00 am - 12:00 pm

1:30 pm - 5:00 pm

Wednesday:

8:00 am

12:00 pm

Thursday:

12:00 pm

8:00 pm

Friday:

8:00 am - 12:00 pm

1:30 pm - 5:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Dr Miller is nothing short of a miracle for me. He treats the body as a whole. I would recommend him to anyone."
    by JGS | March 24, 2016 Jefferson, IA

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