New Patient Forms

Warner Chiropractic and Allergy Relief Center 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:

8:30 am -12:00 pm

1:30 pm - 5:30 pm

Tuesday:

8:30 am -12:00 pm

1:30 pm - 5:30 pm

Wednesday:

8:30 am -12:00 pm

1:30 pm - 5:30 pm

Thursday:

8:30 am -12:00 pm

1:30 pm - 5:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

  • "Before using BAX3000 I had headaches, itchy eyes and cough. I couldn't go outside in spring and fall. I wasn't able to open the windows and enjoy fresh air.

    After the BAX3000, I feel great. My symptoms are gone. The windows are open and I can enjoy spring. It's wonderful! Also, I haven't taken an allergy pill since my 3rd session. I would highly recommend Dr. Warner and the BAX3000 to others who suffer from allergies."
    Jeanne Lay
  • "I decided to try the laser allergy treatments mainly because of my struggle with seasonal allergies. Being outside caused a lot of congestion, sneezing, and misery. Now, after completing my treatments, I'm excited to say that I can work outside all day with no problems! BAX-3000 also fixed my reaction to bee stings. After getting stung, I used to develop severe swelling. As a bee keeper, this swelling made it impossible, not to mention painful. After my laser treatments, I intentionally let myself get stung to see what my reaction would be. I was amazed! My severe reaction to bee stings is gone! Thank you BAX-3000!"
    Fred Tyler
  • "Before the treatment, I couldn't stand to have any doors or windows open during grass mowing. It could even be a neighbor mowing. I would almost instantly have congestion, red watery itchy eyes. I also had these problems with laundry soap and other things with fragrance. I also had trouble when anyone burned leaves or had campfires. After treatment, my symptoms are gone."
    Lisa Swafford
  • "After having my allergy treatments, eating food is no longer a problem. I had food allergies to many things, primarily wheat and corn, so it was difficult eating without a reaction beforehand. I have had not a single reaction now from eating. Sometimes, my throat would swell up and I couldn't breathe, so the difference is amazing. I had other allergies as well that contributed to me being sick very frequently. After the treatments, I don't get sick near as much as I used to."
    Krystyna Millhouse