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    • Conditions Treated
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    • Acid Reflux
  • Therapies
    • Acupuncture
    • Interferential Current
    • Intersegmental Traction
    • Diathermy
    • Ultrasound
    • Decompression Therapy
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      • Your First Visit
      • Phase 1: Relief Care
      • Phase 2: Corrective/Restorative Care
      • Phase 3: Wellness Care
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    • Meet the Chiropractor
    • Services & Techniques
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  • Colic Treatment
    • What is colic?
    • Colic Symptoms
    • Colic Treatment
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    • Video Testimonials
    • Remote Training

Online Forms

Scharenberg Chiropractic Offices 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!
newpatientinformation2.pdf
File Size: 70 kb
File Type: pdf
Download File

acknowlegement_of_receipt_o1.pdf
File Size: 195 kb
File Type: pdf
Download File

adls-1.pdf
File Size: 173 kb
File Type: pdf
Download File

authorization_-_release_of_records.pdf
File Size: 368 kb
File Type: pdf
Download File

chief_complaint.pdf
File Size: 173 kb
File Type: pdf
Download File

scharenberg_chiropractic_privacy.pdf
File Size: 358 kb
File Type: pdf
Download File

outpatient_clinic_financial_policy.pdf
File Size: 443 kb
File Type: pdf
Download File

country_inn_and_suites_flyer.pdf
File Size: 8962 kb
File Type: pdf
Download File

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Direct link to book rooms at special rate: www.countryinns.com/scharenberg
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  • Home
  • Contact Us
  • Testimonials
  • Orthotics
  • Children
    • Conditions Treated
    • Fever
  • Adult Treatments
    • Conditions Treated
    • Prostate Treatment
    • Heel Spurs
    • Pinched Nerves
    • Acid Reflux
  • Therapies
    • Acupuncture
    • Interferential Current
    • Intersegmental Traction
    • Diathermy
    • Ultrasound
    • Decompression Therapy
  • Patient Center
    • Online Forms
    • What to Expect >
      • Your First Visit
      • Phase 1: Relief Care
      • Phase 2: Corrective/Restorative Care
      • Phase 3: Wellness Care
    • Health Resources
    • Payment Options
  • About Us
    • Meet the Chiropractor
    • Services & Techniques
    • Office Tour
  • Colic Treatment
    • What is colic?
    • Colic Symptoms
    • Colic Treatment
    • Written Testimonials
    • Video Testimonials
    • Remote Training