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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.

  • 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!

You can either fill out the form on your computer, then send it to us, or print it and bring it in. Click either link below to choose an option.

Fill out on your computer:

  1. Click here to open the file
  2. Save the file to your computer *before* filling out
  3. When finished, email the form to: [email protected]

Or print and bring in:

  1. Print This Form
  2. When finished, bring into the office

Download the Free Adobe Reader®

Upload your signed form here

Office Hours

Our Regular Schedule

Monday:

9:30 am-1:30 pm

3:00 pm-7:00 pm

Tuesday:

9:30 am-1:30 pm

3:00 pm-7:00 pm

Wednesday:

9:30 am-1:30 pm

3:00 pm-7:00 pm

Thursday:

9:30 am-1:30 pm

3:00 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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