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Kirshner Chiropractic Life Center offers our patient form(s) online so you can complete it in the convenience of your own home or 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



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Exclusive Offer

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Chiropractic Care + Cold Laser Therapy = Relief!

Call us at 734-482-7700 to take advantage of this exclusive offer.

THIS ---->https://kirshnerchiropractic.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00am - 1:00pm3:00pm - 7:00pm
TuesdayClosed2:30pm - 6:00pm
Wednesday9:00am - 1:00pm3:00pm - 7:00pm
ThursdayBy AppointmentClosed
Friday9:00am - 1:00pm3:00pm - 7:00pm
Saturday10:00am - 12:00pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 1:00pm Closed 9:00am - 1:00pm By Appointment 9:00am - 1:00pm 10:00am - 12:00pm Closed
3:00pm - 7:00pm 2:30pm - 6:00pm 3:00pm - 7:00pm Closed 3:00pm - 7:00pm Closed Closed

Testimonial

I first began Chiropractic Care when I was experiencing stiff neck and sore shoulders. Dr. Kirshner (Doc Crack is what I call him) has pretty much fixed me up good for 11 years. I've only been sick 3 times and never taken any medication. He makes people NEVER get sick. I would recommend Chiropractic Care.

Toni A. / Ypsilanti, MI
Ypsilanti, MI

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