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Rasmussen Chiropractic LLC offers our patient form(s) online so you can complete 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 Form - Required

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

New patient offer $45
(exam & xrays if needed)

THIS ---->https://rasmussenchiro.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00 - 12:002:00 - 6:00
Tuesday9:00 - 12:002:00 - 5:00
Wednesday9:00 - 12:002:00 - 6:00
ThursdayClosed2:00 - 5:00
Friday9:00-12:002:00 - 6:00
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 12:00 9:00 - 12:00 9:00 - 12:00 Closed 9:00-12:00 Closed Closed
2:00 - 6:00 2:00 - 5:00 2:00 - 6:00 2:00 - 5:00 2:00 - 6:00 Closed Closed

Testimonial

My name is Debbie Lee and I have known Dr. Chris Rasmussen and his wife Sherry for 11 years. They were truly an answer to a prayer. When I first met them my mother was a patient in their office. I was so impressed...

Debbie Lee
New Albany, IN

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