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Online Entry Forms

Accelerated Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. We have taken measures with these forms so redundancies are eliminated, (such as having to write your name on ALL forms). Therefore, works best if you open the form in AdobeReader and TYPE your information into the form before printing to sign each page.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Click on the Appropriate Entry Forms,
    • 1.) Fill in your information on your computer in its entirety
    • 2.) Print them out
    • 3.) Sign each form
    • 4.) Fax us your printed and completed form(s) at (320) 585-7247 or bring it with you to your appointment.

New Patient Entry Forms - Required

Please click below on your insurance carrier to access the required forms.

Medicare Plans

MN Care or MA

Auto Accident or Workers Compensation

All others (BCBS, Preferred One, Medica, etc.) or No Insurance Coverage

Additional REQUIRED Forms To Be Completed (if Applicable)

Consent To Treat a Minor - MUST BE FILLED OUT IF PATIENT IS A MINOR



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Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am - 1:00 pm

3:00 pm - 5:30 pm

Tuesday:

8:00 am - 11:00 am (By Appointment)

12:00 pm-5:30 pm

Wednesday:

8:00 am - 1:00 pm

3:00 pm - 5:30 pm

Thursday:

8:00 am - 1:00 pm

2:00 pm - 5:30 pm (By Appointment)

Friday:

8:00 am - 1:00 pm

Saturday:

By Appt.

Closed

Sunday:

Closed