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Online Forms

Homestead Chiropractic Clinic 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®

Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

Closed

Friday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Saturday:

By Appointment

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I was terrified of going. Really scared. After my alignment last week, I cried. But this time... not from pain. I cried because I was so happy to finally NOT feel pain in my lower back. So glad my husband convinced me to go. I am so thankful. See you again tomorrow!!!!"
    Erika L.
  • "Dr. Mazure is truly amazing and makes you feel as though he has been your friend for years. I always leave a New Person."
    Luis C.
  • "I throw my back out a lot and Dr. Mazure is always available to help make things better. My husband has been seeing him on a regular basis for a few years now and there is no one else we would allow to adjust us.

    You have the best staff around. And the massage therapist, Megan, absolutely fantastic. Thank you so much for always working your magic!!!"
    Marissa S.