Schumacher Chiropractic Clinics, P.A.
A Family of Chiropractic Care for over 29 years
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Patient Forms

Time Saving TipDo you want to save time during your initial visit? For your convenience, we have provided new patient forms below.


Step 1 - Click below to download and save the file to your computer.
Step 2 - Use the printer connected to your computer to make a print copy of the document.
Step 3 - Complete the form and bring it with you when you come to the clinic.

Do you have questions? Please contact us. We will be happy to assist.

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Schumacher Chiropractic
8534 Excelsior Blvd
Hopkins, MN 55343
952-931-9867

Request appointment or get directions:

Click here Contact Us
Click here Directions

Patient Forms (for Hopkins):

Patient Health Questionaire 1 

Patient Health Questionaire 2 

Neck Index Form 

Back Index Form 

Schumacher Chiropractic
1201 Payne Ave
St Paul, MN 55130
651-776-8666

Request appointment or get directions:

Click here Contact Us
Click here Directions

Patient Forms (for St Paul):

Patient Health Questionaire 1 

Patient Health Questionaire 2 

Neck Index Form 

Back Index Form 

Content copyright . Schumacher Chiropractic Clinics, P.A. All rights reserved. All material on this website is copyrighted by Schumacher Chiropractic Clinics, P.A., except for some material that is copyrighted by others and used here by permission. Copyrighted material may not be copied, reproduced or otherwise used for commercial purposes without the written permission of the copyright holder. Designated trademarks and brands of any organizations mentioned herein are the property of their respective owners in the United States, Canada, and/or other countries. The products and the claims made about specific products on this web site have not been evaluated by Schumacher Chiropractic Clinics, P.A. or the United States Food and Drug Administration and are not approved to diagnose, treat, mitigate, cure or prevent disease. The information provided herein is for general information purposes only and is not intended as advice from your physician or other healthcare professional or any information contained on or in any product label or packaging. You should not use the general information on this web site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting with any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a medical issue or health problem.