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(320) 585-7246

Accelerated Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign-up using the form below or call us at (320) 585-7246 to make your appointment!

Day
Monday8am-1pm2pm-5:30pm
Tuesday8am-1pm2pm-5:30pm
Wednesday8am-1pm2pm-5:30pm
Thursday8am-1pm2pm-5:30pm
Friday8am-1pm2pm-4pm
SaturdayBy Appt.Closed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am-1pm 8am-1pm 8am-1pm 8am-1pm 8am-1pm By Appt. Closed
2pm-5:30pm 2pm-5:30pm 2pm-5:30pm 2pm-5:30pm 2pm-4pm Closed Closed

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