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Online Forms

LifeQuest Physical Medicine and Rehab 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.

  • 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

OR

Click Here to complete paperwork online


Terms of Acceptance

Download & Print Form


Massage Intake Form

Download & Print Form


Pediatric Care

Download & Print Form


Personal Injury Paperwork

Download & Print Form


Download the Free Adobe Reader®

Locations

Office Hours

LifeQuest Physical Medicine and Rehab

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

2:00 pm-6:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-12:00 pm

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

  • "I have had sciatic pain for years! throwing hundreds of dollars for massages that only temporarily helped. Dr. Scharf understood sciatic and back pain personally and has helped me find a long term solution. I have less pain, more energy and a better understanding of how to manage my sciatic. This is the office to go to if you want long term relief."
    Kellen E. Chandler, AZ
  • "I like the chiropractor because he has helped me a lot. It has helped keep my spine straight."
    Joey S. (age 4 1/2)
  • "Thank you Dr. Scharf and Breinn! My neck feels so much better than when I first came in about 3 months ago. What a difference and I have been to many great chiropractors. None have been able to bring progressively better & better long last relief to my neck. The traction REALLY made a big difference!"
    Joan