New Patient Paperwork

Platinum Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. please take the time to print and fill out the following Confidential Information form. Once completed don't forget to bring this form with you. We look forward to meeting you!

  • All forms are PDF files. You will need AdobeReaderĀ® to view them.
  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.

 

Chiropractic Forms

Nutrition Response Testing Forms

In order to expedite your first Nutrition Response Testing visit, please take the time to print and fill out the following 4 forms. Once completed don't forget to bring these forms with you. We look forward to meeting you!

New Patients:

OFFICE HOURS


Monday
6:45am - 12:30pm
2:30pm - 6:30pm


Tuesday
8:00am - 2:00pm


Wednesday
6:45am - 12:30pm
2:30pm - 6:30pm


Thursday
2:00pm - 6:30pm


Friday
6:45am - 12:00pm


Saturday
Closed

Platinum Chiropractic

12300 Singletree Lane #200
Eden Prairie, MN 55344
Phone: (952) 941-2225
Fax: (952) 903-2816