Online Forms
Baker Chiropractic and Acupuncture 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 Forms - 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!
Click here for New Patient Form
Please bring these to the office for your first 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 print it out and bring it in to our office or 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 & Print FormDownload the Free AdobeReader®
Categories
3D Spine Simulator
Launch 3D Spine Simulator
Contact
TWO LOCATIONS
Baker Chiropractic & Acupuncture - Bridgeton
11558 St. Charles Rock Road
Bridgeton, MO 63044 Get Directions
- Phone: (314) 291- 4401
- Fax: (314) 291-5879
- Email Us
Baker Chiropractic & Acupuncture - House Springs
4543 Dulin Creek Road
House Springs, MO 63051
- Phone: (636) 671- 5440
Community Content
Member Wellness
Member Login
HOURS
Bridgeton - Mon- Friday 9am -12pm / 2pm - 6pm
Sat & Sun - CLOSED
For an appointment: (314) 291-4401
House Springs - Mon , Wed , Fri 10am - 12pm / 2pm - 6pm
Sat & Sun - CLOSED
For an appointment : (636) 671-5440
