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Online Forms

Conscious Sol Healing & Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  1. If you do not already have AdobeReader® installed on your computer, Click Here to download.
  2. Download the necessary form(s), print it out and fill in the required information.
  3. Email us your printed and completed form(s) or bring it with you to your appointment. 

 CHIROPRACTIC / BODYWORK:

  • For chiropractic / body work appointments, please call the office to set up your private appointment and fill out our "Chiropractic Health History Form" below and attach in an email (for a quicker appointment) or bring to office. You can email forms to: J[email protected] and someone will contact you to set a special new client appointment (allow 1-1.5 hours)


WELLNESS COACHING / PERSONALIZED NUTRITION:

  • First, download the "Personal Wellness & Health History Form" below so I can get to know you and where to focus the session.
  • Next, email, fax or scan it over to me with best time and day.
  • Then, set up your special 15 minute FREE appointment time by clicking the red box in the "Sessions" section.
  • Last, submit payment for final confirmation or make payment via phone or in person.

Forms to download for Chiropractic, Wellness Coaching and Education HERE:


 Chiropractic New Client Forms & Handouts:

Health History Form (ADULT)   

Download File

Health History Form (CHILD)

Download File

Why Children need Chiropractic

Download File

Personal Wellness & Nutrition Consult Forms:

 Wellness History & Coaching Form

Download File

 NutritionalFood/Drink Log

Download File

Wellness Information & Handouts:

BioLumina Full Spectrum Sheet

Download File

Vitamin D Info Sheet

Download File

Non-GMO Shopping Guide

Download File


Download the Free AdobeReader®

Location

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Office Hours

Monday:

11:00 AM-1:00 PM

3:00 PM-6:00 PM

Tuesday:

3:00 PM-6:00 PM

Wednesday:

11:00 AM-1:00 PM

3:00 PM-6:00 PM

Thursday:

3:00 PM-6:00 PM

Friday:

11:00 AM-1:00 PM

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "Dr. Jodi also helped me with Chiropractic care for about 3 months, I had never felt better. In that short time she helped me to reduce the "bump" on the back of my neck (too much texting & computers!) She is the best and your life will be better for knowing her!"
    Susan M.
  • "Dr. Jodi is amazing!! She really listens to the body and gets to the root of individual health concerns. I came to her for neck issues, and she has made a huge difference in problems that I thought I would have to live with forever. Also, her adjustments are gentle and intuitive. I feel blessed to have found her!!"
    Christy T.