New Patient Paperwork

Northern Life Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake Form

    Click to Download

  • Auto Accident Paperwork

    Click to Download

  • Worker's Compensation Paperwork

    Click to Download

  • Pediatric Paperwork

    Click to Download

  • Physical Therapy Paperwork

    Click to Download

13955 West Preserve Boulevard #200
Burnsville, MN 55337
Phone: (952) 890-0804
Fax: (952) 890-1095

Office Hours

Monday 8:30am - 11:30am
                  3:00pm - 6:30pm
Tuesday 3:00pm - 6:30pm
Wednesday 6:30am - 11:30am
Thursday 3:00pm - 6:30pm
Friday 6:30am - 11:30am
Saturday Closed
Sunday Closed

Minnesota Monthly Best Chiropractors 2022