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 Paperwork

Auto Accident Paperwork

Workers' Compensation Paperwork

Pediatric Paperwork

Nutrition Paperwork

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
8:30am - 9:30am

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

Minnesota Monthly Best Chiropractor 2019
Minnesota Monthly Best Chiropractor 2018
Minnesota Monthly Best Chiropractor 2017
Local Boosters in Burnsville MN