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Online Forms

Prairie Spine Online Forms

Prairie Spine 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.

Download and Print forms

New Patient Intake Form
Auto Accident intake Form

For HealthPartners, Medica, United Healthcare and Medicare patients please also complete the following forms:

Neck Index
Back Index



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Locations

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Office Hours

Our Regular Schedule

Prairie Spine

Monday:

9:00 am-12:30 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-12:30 pm

3:00 pm-6:00 pm

Wednesday:

7:00 am-12:00 pm

3:00 pm-5:30 pm

Thursday:

9:00 am-12:30 pm

3:00 pm-6:00 pm

Friday:

7:30 am-12:00 pm

Closed

Saturday:

8:30 am-9:30 am

Closed

Sunday:

Closed