3712 Lockport St Ste B

Bismarck, ND 58503 US

701-223-8873

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Online Forms

Dakota Family Chiropractic 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 your care can we help you with? Let us know!

Pediatric Forms 0-6 years

Download & Print Form  

Age 6+

Online Intake Form



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Make an Appointment Today!

Sign-up using the form or call us at 701-223-8873.

Office Hours

Our Regular Schedule

Dakota Family Chiropractic

Monday:

8:00 AM

6:00 PM

Tuesday:

12:00 AM

6:00 PM

Wednesday:

8:00 AM

6:00 PM

Thursday:

12:00 PM

6:00 PM

Friday:

8:00 AM

12:00 PM

Saturday:

Closed

Sunday:

Closed

Location

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Testimonial

  • "I had become very frustrated with the way I was feeling. My headaches made me very tired and I would frequently have to nap after work or school instead of doing things I enjoyed. Occasionally, I would miss work because the pain was so severe."
    Bismarck, ND

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