Online Forms

The BAC Clinic of Chiropractic and Spine Rehabilitation offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReaderĀ® 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 Intake Form 

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!

Patient Intake Form

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Location

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Office Hours

Our Regular Schedule

Sioux City Office

Monday:

10:00 am-6:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

2:00 pm-6:00 pm

Friday:

10:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed