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Wenger Chiropractic Group 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!

Please complete the following forms:

Medical History and Patient Information - For new patients or patients that have not been seen in 3 years.

Questionnaire - Please complete this form.



Complete this form only if you are scheduled with Dr. Kurtz for a Science Based Nutrition Evaluation. History Form - Click HERE


Download the Free AdobeReader®