Online Forms

Minges Creek 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, print it out and fill in the required information.
  • Fax us your printed and completed form (fax 269-979-8630) 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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Douglas Gordon, DC / Chiropractor / Minges Creek Chiropractic

Battle Creek, MI / (269) 979-2000 / Massage Therapy Available

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Testimonial

Reviews By Our Satisfied Patients

  • "I'd had my pain for over 3 years, and nothing had helped. Since seeing Dr. Gordon, I sleep better, walk better, and I don't have the pain at work. Minges Creek Chiropractic is a very friendly environment, my appointments are very efficient, and I am always well cared for when I am there. I've referred many of my friends and family there already. Thanks!"
    Yvonne N. Battle Creek, MI

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