Home

www.baker-chiro.com

My Account Login

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

Click here for Consent 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 Form


Download the Free AdobeReader®
Top

Newsletter Sign Up











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

JEFFERSON COUNTY

Member Login

Send Password | Sign Up

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

Request
Appt.