Painless Chiropractic & Neuropathy Treatment Center
New Patient Intake Form
We are extremely thorough because your well-being deserves nothing less. We practice Chiropractic Biophysics & Functional Health — a comprehensive approach that helps with far more than most patients realize. Please complete this form so we can deliver the highest level of care from day one.
Takes approximately 10–15 minutes | All information is confidential | HIPAA compliant
Prefer to reach us directly? We are here to help.
Office Hours: Mon, Wed, Thu 9:00 AM – 6:00 PM | Tue & Fri 9:00 AM – 1:00 PM
What Happens Next
Submit your intake form — we review it before your visit
We call or text to confirm your appointment time
Meet the doctor — your care plan begins immediately
A consultation is speaking with the doctor in the consult room to find out if the team can help you. Any services rendered such as an exam, testing, X-rays, therapies, adjustments, or tangible products are not free. Located at 404 Rounds Dr, Fenton, MI 48430.