The Bismarck Chiropractor to see - Chiropractor Bismarck

Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 

Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Adult - Download & Print Form

  Child - Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

  Download & Print Form


Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

  Download & Print Form


Massage Forms

  Download & Print Form

  Pregnancy Massage - Please include this form with the ones above


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Active Life Chiropractic | (701) 255-4241
535 South 7th Street Bismarck, ND 58504, Bismarck, ND

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Dr. Weigel & Dr. Ness Asks some important questions of interest to Bismarck residents - Chiropractor Bismarck Dr. Weigel & Dr. Ness Asks...

How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.
What happens if you stop chiropractic care when you feel better?
Many Bismarck folks recognize that this predisposes you to a relapse. Chiropractors know that muscles and ligaments supporting the spine don't fully heal until after symptoms subside.