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Practice Name

Larson Chiropractic

Social Media
Primary Location
1001 East Bogard Road
Wasilla, AK 99654
Phone: 907-376-2225
Fax: 907-376-9225

Office Hours

DayMorningAfternoon
Monday7am to 4pmClosed 12-2pm
Tuesday9am to 6pm
Wednesday7am to 4pm
Thursday9am to 6pm
Friday7am to 12pm
SaturdayClosedClosed
SundayClosedClosed
Main Content

Larson Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office.  Having the forms filled out completely and accurately will guarantee an on time appointment as well as timely insurance billing.  We appreciate your effort in having this done beforehand. 

  • 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 Packet

**If you are unable to fill out this packet prior to your appointment, please arrive 30 minutes early.  This packet contains a Health History Form, a Patient Registration Form, a HIPAA Form, and our Financial Policy. 

printerNew Patient Health History Form (Required)- Click Here to Download


Health History Form

Download & Print Form


Consent to Treat a Minor Form

Download & Print Form


Records Request Form

Download & Print Form


Financial Policy

Download & Print Form


Motor Vehicle Accident Report Form

Download & Print Form


Worker's Comp Form

Download and Print Form


Notice of Privacy Practices

Information & Rights Notice

Download and Print Form


Sports Physical Packet

Download and Print Form

Exclusive Offer

New patients receive Free Consultation.

Sign-up using the form or call us at 907-376-2225 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Forms

Larson Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Download Online Forms Here

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Request An Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!

Services

Our professionals are committed to promoting the health and well being of our patients.

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Contact

Larson Chiropractic
1001 East Bogard Road
Wasilla, AK 99654
Get Directions
 
  • Phone: 907-376-2225
  • Fax: 907-376-9225
  • Email Us

Office Hours

DayMorningAfternoon
Monday7am to 4pmClosed 12-2pm
Tuesday9am to 6pm
Wednesday7am to 4pm
Thursday9am to 6pm
Friday7am to 12pm
SaturdayClosedClosed
SundayClosedClosed
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