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Practice Name

Choice Chiropractic and Wellness

Primary Location
36493 N. Gantzel Rd., Suite 102
San Tan Valley, AZ 85140
Phone: (480) 888-7383
Fax: (480) 888-7384

Office Hours

DayMorningAfternoon
Monday8:00am - 12:00pm2:00pm - 6:00 pm
Tuesday8:00am - 12:00pm2:00pm - 6:00 pm
Wednesday8:00am - 12:00pm2:00pm - 6:00 pm
Thursday8:00am - 12:00pm2:00pm - 6:00 pm
Friday8:00am - 12:00pmClosed
SaturdayBy AppointmentClosed
SundayClosedClosed
Main Content

Choice 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.

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!

New_Patient_Information.pdf

Patient_Health_History.pdf

Other Forms:
 

HIPAA Form
Informed Consent Form

Auto Accident Questionnaire.pdf



Download the Free AdobeReader®

Sign up using the form below or call (480) 888-7383 to make an appointment.

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Dr. Shiflet, I just wanted to thank you for everything you have done for my health. After 3 years of being at my worst healthwise, you have brought me to my best and I appreciate it more than words can say. You care about your patients and that is what makes you a wonderful doctor. Thanks again so much!!!

Natalie
San Tan Valley, AZ

Office Hours

DayMorningAfternoon
Monday8:00am - 12:00pm2:00pm - 6:00 pm
Tuesday8:00am - 12:00pm2:00pm - 6:00 pm
Wednesday8:00am - 12:00pm2:00pm - 6:00 pm
Thursday8:00am - 12:00pm2:00pm - 6:00 pm
Friday8:00am - 12:00pmClosed
SaturdayBy AppointmentClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am - 12:00pm 8:00am - 12:00pm 8:00am - 12:00pm 8:00am - 12:00pm 8:00am - 12:00pm By Appointment Closed
2:00pm - 6:00 pm 2:00pm - 6:00 pm 2:00pm - 6:00 pm 2:00pm - 6:00 pm Closed Closed Closed

Contact

  • 36493 N. Gantzel Rd., Suite 102 San Tan Valley, AZ 85140
  • (480) 888-7383
  • Get Directions
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