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Arizona Life Chiropractic Center offers our patient form(s) online so they can be completed 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
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
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CHANGE IN HOURS NEXT WEEK!!!
NEXT MON/TUES/WED 7/10-12 we are OPEN
NEXT THURSDAY & FRIDAY 7/13-14 we are CLOSED
Regular JULY NEW PATIENT out-of-pocket SPECIAL $45.00 (Includes X-Ray & EMG Scan and Chiropractic Consultation - Adjustment NOT included). ($175.00 Value)
WE HAVE A DECOMPRESSION TABLE NOW!!! Call for a free consultation to see if this treatment can help you! 602.242.7537 We have a low introductory price for you to see if this therapy is right for you.
MASSAGE GIFT CERTIFICATES
(Out of Pocket Cost)
1 HOUR: $55 * 1/2 HOUR $30 * 1 1/2 HOURS $75
BUY 3 GET A 1/2 FREE * BUY 5 GET AN HOUR FREE
Do you need X-Rays? We have a LOW out-of-pocket fee per view! Call the office to make an appointment!
Sign-up using the form or call us at 602-242-7537 to take advantage of this exclusive offer.
Mon day 8:30 - 12:30 2:30 - 6:00
Tues day Closed 2:30 - 6:00
Wed nesday 8:30 - 12:30 2:30 - 6:00
Thurs day 8:30 - 12:30 2:30 - 6:00
Fri day By Appt. By Appt.
Sat urday Closed Closed
Sun day Closed Closed
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