Lighthouse Chiropractic
“Your Guide To Better Health”
Questions? Call NOW
(763) 441-1701
Patient Forms
Click below to fill out the appropriate requested form(s) before your appointment
Present Complaint Exam Intake Form
Pediatric Assessment Form (Under Age 5)
Gap In Treatment (30 Day Gap In Treatment Form)
Low Back Pain Index Questionnaire
New Patients please fill out all 4 forms listed below before your appointment.
New Patient Present Complaints Form
New Patient Pediatric Intake Exam Form (Under Age 5)
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“Serving the Northern Communities of Minneapolis including:
Elk River, Big Lake, Zimmerman, Otsego and Rogers.”
Join us Socially: 
578 Dodge Avenue Northwest
Elk River, MN 55330
(763) 441-1701
Located between McDonald's and KFC off 169