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PATIENT PORTAL


Active Chiropractic Health & Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • Click on the PATIENT PORTAL link to enter.
  • Enter your last name and the PIN that was given to you when you made your appointment. It will then ask you to change it to another 4 digit PIN.
  • Once in the portal, click the New Patient link and enter all required information on each tab.
  • ​Patients that are EIGHT years old and under, please download and print the additional pediatric forms below.
  • RETURNING patients, you can access the portal to update information, check future appointments, and print your own receipts and superbills.

NEW PEDIATRIC PATIENT FORMS (Download & Print) 

  • 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.

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!



Download the Free AdobeReader®

THIS ---->https://activechw.com/new-patient-center/online-forms.html

Office Hours

Day
Monday7:30 - 12:003:00 - 6:00
Tuesday9:00 - 12:003:00 - 6:00
Wednesday7:30 - 12:003:00 - 5:30
Thursday9:00 - 12:003:00 - 6:00
Friday7:30 - 12:00Closed
SaturdayClosedClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30 - 12:00 9:00 - 12:00 7:30 - 12:00 9:00 - 12:00 7:30 - 12:00 Closed Closed
3:00 - 6:00 3:00 - 6:00 3:00 - 5:30 3:00 - 6:00 Closed Closed Closed

Testimonial

Thank you for the wonderful treatments that helped my body feel better. It's great to be able to walk without pain and to be able to dance!

S.M.
Norman, OK

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