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Online Forms

Powersource Chiropractic 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 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 Form - 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!

Location

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Office Hours

Our regular schedule
Primary Location
Monday:
08:00 am - 06:00 pm
Tuesday:
09:00 am - 06:00 pm
Wednesday:
08:00 am - 06:00 pm
Thursday:
09:00 am - 06:00 pm
Friday:
08:00 am - 06:00 pm
Saturday:
Massage Appointments Available by Appt.
Sunday:
Closed
Testimonials
Reviews By Our Satisfied Clients
"I have good results with Dr. Scott. I appreciate his time and undivided attention when I have my appointment. His knowledge and support have been really important to me recently. The office staff have also been very supportive. Thank you all!"
Susan Heidenreich
"The staff is always friendly and welcoming, addressing me by name every visit. Dr. Dubrul is very good about answering any questions I have and clarifying things until I fully understand what’s going on. I will recommend Powersource any chance I get!"
John Lubisich
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Please do not submit any Protected Health Information (PHI).