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Online Forms

Tulsa Chiropractic Rehab offers our patient form(s) online so they can be completed in the convenience of your own home or office.


New Patient Health History Form - Required

This information is necessary to guide our examination, alert us to potential problems, develop an accurate diagnosis, and determine the best treatment options.

 Print and bring in:

  1. Print This Form
  2. When finished, bring into the office, email it, or fax to us.

Fax: (918)-600-2968
EMAIL: [email protected]


Download the Free Adobe Reader®

Appointment Request Form

Office Hours

Our Regular Schedule

Monday:

9:30 am-1:30 pm

3:30 pm-7:00 pm

Tuesday:

9:30 am-1:30 pm

3:30 pm-7:00 pm

Wednesday:

9:30 am-1:30 pm

3:30 pm-7:00 pm

Thursday:

9:30 am-1:30 pm

3:30 pm-7:00 pm

Friday:

9:30 am-2:00 pm

Saturday:

Closed

Sunday:

Closed

Our Location

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Testimonials

Reviews By Our Satisfied Patients

  • "Dr Fields and company are amazing! I was having terrible back and neck pain and Dr Fields came to me highly recommended to me by a close friend. He carefully explained to me what was happening and how he could help. After just a few sessions I so much better!! He is the BEST!!"
    Sarah Murray
  • "Dr Fields is exceptional. He works very hard to rehab physical issues, listens to your comments, and takes more time working with patients vs others I have worked with. No doubt the best I have visited."
    Denny Dean
  • "Dr. Fields is outstanding! He took the time to address my issues in detail and clearly explained what my options for care are. He and his staff are fantastic! I could not recommend them more!"
    Luke Brown

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