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Semlow Peak Performance Chiropractic offers our patient form(s) online so they can be completed it 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!

Download & Print Form

Pain Diagram Form- Required 

This form allows us to review where you are experiencing your symptoms and pain

Download & Print Form 

Child Case History Form - Required

This form allows us to review the primary purpose for bringing your child in to see the Doctor.  We see many children in our office and we are here to help your family!

Download & Print Form 


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



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Exclusive Offer

New Patients Receive $75 Initial Visit. Includes
consultation, examination and x-rays.

Sign-up using the form or call us at 616-846-5000 to take advantage of this exclusive offer.

THIS ---->https://semlowpeakperformance.com/new-patient-center/online-forms.html

Office Hours

Day
Monday7:30am - 1:00pm3:00pm - 6:00pm
Tuesday8:30am -1:00pm3:00pm-6:00pm
Wednesday8:30am - 1:00pm3:00pm - 6:00pm
Thursday7:30am-12:30pmclosed
Friday8:30am - 1:00pm3:00pm - 5:00pm
Saturday9:00am-12:00pmEvery other Sat.
Sundayclosedclosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30am - 1:00pm 8:30am -1:00pm 8:30am - 1:00pm 7:30am-12:30pm 8:30am - 1:00pm 9:00am-12:00pm closed
3:00pm - 6:00pm 3:00pm-6:00pm 3:00pm - 6:00pm closed 3:00pm - 5:00pm Every other Sat. closed

Testimonial

I got my life back, I was 27 and feeling like I was 60, now I am feeling my age again.

- Brett S.
Grand Haven, MI

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