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1711 Woolsey St Suite A

Delavan, WI 53115 US

262-728-4544

262-728-4546

Online Forms

Advantage Chiropractic Natural Health and Wellness Inc 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!

Download & Print Form



Download the Free AdobeReader®

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Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

9:00 am - 1:00 pm

3:00 pm - 5:00 pm

Wednesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 5:00 pm

Friday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Saturday:

By Appt.

Closed

Sunday:

Closed

Closed