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.

*Does Not Apply To Medicare


8:30am - 6:00pm

8:30am - 6:00pm

8:30am - 6:00pm

8:30am - 6:00pm

8:30am - 12:00pm

Saturday, & Sunday

Quality Life Chiropractic & Massage

3249 19th St NW suite 2
Rochester, MN 55901

(507) 206-6334