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Online Forms

Empowered Life, PC 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.

Practice Member Intake Information:

To save some time on your first visit, print and fill out the following Practice Member Intake Form.

You may print and fill out or you may download and open in AdobeReader and auto-fill out electronically and either e-mail or print and bring in the form completed.  E-mail to frontdesk@EmpoweredLifeChiropractic.com

Adult Intake Form

Pregnancy Intake Form

Infant & Toddler Intake From

School Aged Intake Form



Download the Free AdobeReader®

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Office Hours

Our Regular Schedule

Empowered Life, PC

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-5:30 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

Closed

Friday:

9:00 am-1:00 pm

3:00 pm-5:00 pm

Saturday:

9:00 am-12:00 pm on 5/12, 6/2, 6/13, 6/30, 7/7, 7/21, 8/4

Sunday:

Closed