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Dakota Chiropractic & Wellness Center offers our patient form(s) online so you can complete 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.
  • Bring the completed form(s) with you to your appointment or fax it to our office at 605-339-8880.

Adult New Patient Forms (ages 18 and older)

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!

If you would like to fill out forms online, please click the link below:

https://www.mychirotouch.com/patientintake/?clientid=DCWC0004

You will need the following forms (if you choose to print and fill out before your appointment):

Adult Patient Information

Patient Health Questionnaire

Financial Policy