344 E. Main St.

Blooming Prairie, MN 55917 US


Online Forms

Prairie Family & Sports Chiropractic offers our patient form(s) online so they can be completed 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 Case 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

Terms of Acceptance Consent Form - Required

Download & Print Form

Notice of Privacy - Required

Download & Print Form

Consent For Use & Disclosure

Download & Print Form

Case History Update Form (For Existing Patients ONLY)

Download & Print Form

Workers Compensation Accident Report

Download & Print Form

Auto Accident Report

Download & Print Form

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