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Online Forms

Lawless Chiropractic & Wellness Center 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

Patient Intake Form

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.



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Monday:

9:00AM

6:00PM

Tuesday:

9:00AM

5:00PM

Wednesday:

9:00AM

6:00PM

Thursday:

9:00AM

12:00PM

Friday:

9:00AM

4:00PM

Saturday:

By Appt.

By Appt.

Sunday:

Closed



Location

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Testimonials

Reviews By Our Satisfied Patients

  • "I am so grateful for me and my family to be patients of Dr. Lawless. He helps us to feel well and balanced through his competent chiropractic care. He always gives a thorough whole-body adjustment. I appreciate that. Additionally, his office and staff are professional and timely. Dr. Lawless is kind, caring & shares his healing energy."
    Sandy

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