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Online Forms

Dubuque Family Chiropractic 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.


New Patient Health History 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!

Download & Print Form 


Download the Free AdobeReader®

Locations

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Office Hours

Our Regular Schedule

Monday:

9:00am - 1:00pm

3:00pm - 6:00pm

Tuesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Thursday:

9:00am - 1:00pm

3:00pm - 6:00pm

Friday:

9:00am - 1:00pm

3:00pm - 6:00pm

Saturday:

By Appt.

By Appt.

Sunday:

Closed

Closed

Testimonial

Review By Our Satisfied Patient

  • "My experience with Dr. Tim has been great. He is very professional, but also personable as well. He takes time with each of his patients and always asks if you are having any additional concerns other then what you are seeing him for. Highly recommend him."
    Jessica Mihalakis - Dubuque, IA