Online Forms

Back To Health 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.

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!

Fill Out Here



Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Savannah

Monday

8:30 am - 5:00 pm

Tuesday

10:00 am - 6:00 pm

Wednesday

Closed

Thursday

10:00 am - 5:00 pm

Friday

8:30 am - 1:30 pm

Saturday

Closed

Sunday

Closed

Wathena

Monday

8:30 am - 5:00 pm

Tuesday

Closed

Wednesday

8:30 am - 5:00 pm

Thursday

Closed

Friday

8:30 am - 5:00 pm

Saturday

Closed

Sunday

Closed

Savannah

Monday
8:30 am - 5:00 pm
Tuesday
10:00 am - 6:00 pm
Wednesday
Closed
Thursday
10:00 am - 5:00 pm
Friday
8:30 am - 1:30 pm
Saturday
Closed
Sunday
Closed

Wathena

Monday
8:30 am - 5:00 pm
Tuesday
Closed
Wednesday
8:30 am - 5:00 pm
Thursday
Closed
Friday
8:30 am - 5:00 pm
Saturday
Closed
Sunday
Closed