Online Forms

Online formsJex Family Chiropractic 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 Intake 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!

Fill Out Our Online Form


Insurance Form

Download & Print Form


Privacy Notice

Download & Print Form



Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 6:00 pm

Tuesday:

2:00 pm - 6:00 pm

Wednesday:

9:00 am - 6:00 pm

Thursday:

2:00 pm - 6:00 pm

Friday:

9:00 am - 3:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Jex is very helpful. I have had a persistent pain for months in my arm. Which I thought Chiropractor's could not help at all. Jex set my arm straight and alleviated almost all of the pain right a way. No need for Sports Therapists, Jex provided me with exercises to help stop the issue and get my arm back on recovery road. Thanks Jex if you let me hug you I would! ;-)"
    - Ryan Dixey
  • "Dr.Jex is the best chiropractor! I have been to a few, and he is the most thorough and caring Dr. I have ever met! He takes his time with each patient If money is an issue he will work with you."
    - Kristen Devries