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Practice Name

Northwest Chiropractic Life Center, P.C.

Social Media
Primary Location
645 Saint Clair Ave.
Jackson, MI 49202
Phone: 517-784-9123
Fax: 517-784-9150

Office Hours

DayMorningAfternoon
Monday8am - 12pm2pm - 6pm
Tuesday8am - 12pm2pm - 6pm
Wednesday8am - 12pm2pm - 6pm
Thursday8am - 12pm2pm - 6pm
Friday8am - 12pm2pm - 6pm
SaturdayByAppointment
SundayByAppointment
Main Content

Northwest Chiropractic Life Center, P.C. 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!

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New patients receive a FREE face-to-face consultation & COMPLIMENTARY 25 point Spinal and Muscle Screening. FREE Report of Findings will given if X-rays are required. A $200 Value!*

Sign-up using the form or call us at 517-784-9123 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Payment Options

Most Insurances Accepted:

• Blue Cross-Blue Shield
• Medicare
• Medicaid
• Most BCBS PPO's

Cards Accepted:

Online Forms

Northwest Chiropractic Life Center, P.C. offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Download Online Forms Here

Make Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Now

Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

Northwest Chiropractic Life Center, P.C.
645 Saint Clair Ave.
Jackson, MI 49202
Get Directions
 
  • Phone: 517-784-9123
  • Fax: 517-784-9150
  • Email Us
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions

Office Hours

DayMorningAfternoon
Monday8am - 12pm2pm - 6pm
Tuesday8am - 12pm2pm - 6pm
Wednesday8am - 12pm2pm - 6pm
Thursday8am - 12pm2pm - 6pm
Friday8am - 12pm2pm - 6pm
SaturdayByAppointment
SundayByAppointment
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