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Online Forms

Active Life Chiropractic offers our patient form(s) online so you can complete 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 let's 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


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Location

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Office Hours

Our Regular Schedule

Bloomington Office

Monday:

10:00 am-7:00 pm

Tuesday:

2:30 pm-6:00 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

Closed

Friday:

10:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Dr. Lamppa: Thank you so much for testing Brooklyn, Ashton and Me! We have had no bouts of sickness since! Brooklyn wanted to know yesterday where we took her to get healthy in Minneapolis I said Dr. Lamppa!"
    Tara R. -