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Online Forms

Reimer Wellness Center Wellness Center offers our patient form(s) online so they can be completed 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 required 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


Children's Health Record- Required for any patient 18 years or younger

Download & Print Form


Initial Consultation Form - Required

Download & Print Form  


Personal Injury Questionnaire - Required

Download & Print Form


Lifestyle Questionnaire - Required

Download & Print Form


Exercise Prescription Form - Optional

Download & Print Form


Update Your Health History

Download & Print Form


DASH Form

Download & Print Form


Back Index Form

Download & Print Form


Neck index Form

Download & Print Form


Lower Extremity Form

Download & Print Form



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Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Tuesday:

1:30 pm-6:00 pm

Wednesday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Thursday:

By Appt.

Friday:

8:30 am-12:30 pm

3:00 pm-6:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "THERE TO SERVE YOU
    "When I was in an accident, Dr. Mary's healing hands and her being in touch with my body and soul, helped get me back to my healthy and well body. I highly recommend Dr. Mary for all of your massage, chiropractic and wellness needs. Her office staff is lovely as well as her office environment. They are there to serve you. Two thumbs up!""
    Rosie Olson / Airline Flight Attendant
  • "PREGNANCY
    "Dr. Reimer has been my one and only chiropractor for over 10 years. I am excited to say that I am now pregnant and trust her with helping prepare me for delivery.""
    Danielle Smith / Dance Instuctor/Business Owner