New Patient Paperwork

Quality Life Chiropractic & Massage offers our patient form(s) online so they can be completed in the convenience of your own home or office. Simply click on a link below to get started.

  • New Patient Paperwork

    Click to Complete

  • Pediatric Patient Paperwork

    Click to Complete

  • Initial Massage Paperwork

    Click to Complete

  • Auto Accident & Work Comp Patient Paperwork

    Click to Complete

  • Medicare New Patient Paperwork

    Click to Complete

***Let us know if your completing the paperwork ahead of time, it will change your arrival time for your appointment.***

Your Privacy is Important to Us ⇒ HIPAA Notice of Privacy Practices.pdf

When you arrive at Quality Life Chiropractic & Massage in Rochester MN, we will have you complete the necessary paperwork for the chiropractor. The paperwork provides the chiropractor with history and general information about yourself and your condition.

OFFICE HOURS


Monday
8:30am - 6:00pm


Tuesday
8:30am - 3:30pm


Wednesday
8:30am - 6:00pm


Thursday
8:30am - 6:00pm


Friday
8:30am - 3:30pm


Saturday & Sunday
Closed

Quality Life Chiropractic & Massage

3249 19th St NW suite 2
Rochester, MN 55901

(507) 206-6334