chiropractic intake forms

Under age 12 please complete this form

*Please note this one does need to be PRINTED

Adults and children over age 12

please complete this ON-LINE form

HOURS

Mon: 8am - 1pm | 3pm - 6pm
Tue: Nutrition and Massage by apt
Wed: 8am - 1pm | 3pm - 6pm
Thu: 1pm - 7pm
Fri: 8am - 1pm
Sat: 9am - 1pm (2nd of the month)

ADDRESS

101 Lake Street West
Suite 210
Wayzata, MN 55391

CONTACT INFORMATION

info@vaidawellness.com
Phone: 952.473.1773
Fax: 844.235.6985