Schumacher Chiropractic Clinics, P.A.
A Family of Chiropractic Care for over 30 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 Questionnaire 1 (PHQ-202)

Patient Health Questionnaire 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 Questionnaire 1 (PHQ-202)

Patient Health Questionaire 2 

Neck Index Form 

Back Index Form