8941 Aztec Dr.
Eden Prairie, MN

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Located in Eden Prairie, MN, Midwest Chiropractic and Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

Member Health Record- Adult - 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!

Download & Print Form- Front of Form

Download & Print Form- Back of Form


Member Health Record- Child-Required

 Download & Print Form-Front of Form

 Download & Print Form-Back of Form 


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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New Patients: Currently Offering a $39 Exam and Consultation.

THIS ---->https://midwestchiroandwellness.com/online-forms.html

Office Hours

Day
Monday8:30am - 12:00pm2:00pm - 6:00pm
Tuesday9:00am - 12:00pm2:00pm - 6:00pm
Wednesday8:30am - 12:00pm2:00pm - 6:00pm
Thursday8:30am - 12:00pm2:00pm - 6:00pm
Friday8:30am - 12:00pmClosed
SaturdayBy App. OnlyClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am - 12:00pm 9:00am - 12:00pm 8:30am - 12:00pm 8:30am - 12:00pm 8:30am - 12:00pm By App. Only Closed
2:00pm - 6:00pm 2:00pm - 6:00pm 2:00pm - 6:00pm 2:00pm - 6:00pm Closed Closed Closed

Testimonial

We love midwest chiropractic! Before seeing dr. Jenny, my son wet the bed every single night. I wasn't willing to restrict his water intake or put him on medications. 4 weeks after seeing Dr Jenny he stopped wetting the bed!! AND my daughter was diagnosed with ADD - dr Jenny has significantly helped her focus and balance! Thank you!!!!

Jenny S.
Eden Prairie, MN

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