Online Forms

Pure Chiropractic and Rehab P.C. 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


HIPAA - Notice of Privacy Practices Information

Click the link below to view/print the HIPAA - Notice of Privacy Practices form.

Download & Print HIPAA Information



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Location

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Office Hours

Our Regular Schedule

Fargo Office

Monday:

7:30 am-5:45 pm

Tuesday:

7:30 am-5:45 pm

Wednesday:

7:30 am-5:45 pm

Thursday:

7:30 am-5:45 pm

Friday:

7:30 am-5:45 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "I lived in pain for years and tried about everything - chiropractors, massage, prolotherapy, etc.. I then went to Pure Chiropractic after a referral from a friend. I am sure glad I did. Within a couple of weeks, I had much better relief than anything else I've experienced."
    Mike V. - Fargo, ND