Online Forms

East Lake Chiropractic and Medical Center 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.

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!

Click Here To Fill Form Online

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Our Locations

Located in the Staples/Aldi Plaza