Online Forms


Forms for New Patients

Please print the forms below. Fill them out Completely, using the Date of your Appointment on your intake form and bring the completed forms with you to your New Patient Appointment.

Click on links below and print

1. New Patient Intake  

2. Informed Consent & HIPAA

3. Family Medical History

4. Cancellation/Late Arrival/ No-Show Policies

Forms for Established/Returning Patients

Please download and print the forms below. Fill out all the forms with the date of your return (update) appointment and bring completed forms to your appointment.

Click on links below and print

1. Patient Update/ Pain Assessment

2. Informed Consent & HIPAA

3. Personal Medical History (If longer than 6 Months since last visit)

4. Cancellation/Late Arrival/ No-Show Policies




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Location

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Office Hours

Our Regular Schedule

Monday:

10:00am - 12:30pm

2:00pm - 7:00pm

Tuesday:

9:00am - 12:30pm

Closed

Wednesday:

9:00am - 12:30pm

2:00pm - 7:00pm

Thursday:

Closed

Closed

Friday:

9:00am - 12:30pm

2:00pm - 6:30pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Approx. 15 years ago I ruptured a disc in my spine and have 2 herniated discs. I have been able to continue working with minimal discomfort thanks to Doctor Janis. In the beginning I was directed to physical therapy with no results. Janis chiropractic is more than just adjustments. The reason I am able to still work today at 68yrs old is by the grace of God and Doctor Janis."
    -Jim L. 10-22-15 Brighton, MI