New Patient Paperwork

Empower Chiropractic and Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Adult New Patient Paperwork

    Click to Download

  • Child New Patient Paperwork

    Click to Download

Monday
9:00am - 1:00pm
3:00pm - 5:30pm


Tuesday
Closed


Wednesday
9:00am - 1:00pm
3:00pm - 5:30pm


Thursday
9:00am - 1:00pm
3:00pm - 5:30pm


Friday
9:00am - 1:00pm


Saturday
By Appointment


Sunday
Closed

Empower Chiropractic and Wellness Center

373 George St
Excelsior, MN 55331

(952) 474-3359