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Paitent Forms

Radiant Life Chiropractic 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 Forms

Pediatric New Patient Form

Adult New Patient Form

Additional Forms (if applicable)

Progress Exam

Adrenal Fatigue Survey



Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

3:30 pm-6:30 pm

Tuesday:

3:30 pm-6:30 pm

Wednesday:

3:30 pm-6:30 pm

Thursday:

3:30 pm-6:30 pm

Friday:

3:30 pm-6:30 pm

Saturday:

11:00 am-1:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Andy is amazing. His treatment has caused dramatic improvements in my speech delayed 2 year old and my autistic 3.5 year old. We are 3 months into treatment and they are completely different kids."
    L.A Galbraith
  • "Dr. Andy and his staff are so gifted and thoughtful in their approach to pediatric chiropractic care. It is so evident that each of them feels this is their true calling and they genuinely care for the health of each client they treat. I would highly recommend this team and I am so thankful they were able to work with my children!"
    A. Kruse