Online Forms


Please Print FORMS # 1-4 below, Fill out Completely with Date of Appointment and bring with you to your First Visit.

Click on Download & Print Form

1. New Patient Intake - Download & Print Form 

2. Informed Consent & HIPAA- Download & Print Form

3. Family Medical History -Download & Print Form

4. Questionnaire-Download & Print Form 


 Please Print Forms below and fill out with Date of Appointment

Click on Download & Print Form

1. Patient Update/ Pain Assessment- Download& Print Form

2. Informed Consent & HIPAA-Download & Print Form

3. Personal Medical History (If longer than 6 Months since last visit)-Download & Print Form

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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