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Online Forms

Summit Mobile Chiropractic offers our patient form(s) online so they can be completed it 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!

Download & Print Form 


Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

1:00 pm-5:30 pm

Tuesday:

9:00 am-12:00 pm

1:00 pm-5:30 pm

Wednesday:

12:00 pm-8:00 pm

Thursday:

Closed

Friday:

9:00 am-12:00 pm

1:00 pm-5:30 pm

Saturday:

By Appointment

Sunday:

Closed

Testimonial

  • "Just had my first appointment with Dr. Dean and it was amazing! I came in because I had tweaked my back lifting a heavy object and could barely move in the morning. After an hour with the doctor, I have full rotation and flexibility! He gave me some great tips on how to prevent these kinds of injuries in the future. Thanks!"
    Carla Cammarata