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Wise Chiropractic, Inc. offers our patient form(s) online so they can be completed 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 Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Adult and Teenagers (+13 yrs old) Download & Print Form

Pediatric/Children (0-12 years old) Download & Print Form

Auto Accident Paperwork Download & Print Forms

NAET - Allergy Elimination (Additional Forms to Download) Download & Print Form


HIPPA Compliance Form

Please fill out the last page and return it to the office on your first visit. 

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer!

New Adult Special: Consultation, Exam, Digital X-rays and First Adjustment for $99.00.

New Pediatric Special: Exam and First Adjustment for $60.00

Sign-up using the request appointment form right above or call us at 702-248-6292 to take advantage of this exclusive offer.

THIS ---->https://wisechiropractor.chiromatrixbase.com/new-patient-center/online-forms.html

Office Hours

Day
Monday9am-12pm2pm-6pm
Tuesday2pm-6pm
Wednesday9am-12pm2pm-6pm
Thursday9am-12pm2pm-6pm
Friday9am-12pm
Saturday
Sunday
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am-12pm 9am-12pm 9am-12pm 9am-12pm
2pm-6pm 2pm-6pm 2pm-6pm 2pm-6pm

Testimonial

Myself and my 8 year old son has been seeing Dr. Wise since 2015. The care we have received at his office has been outstanding. Our health has been improving, allergies have gone away and my son's behavioral issues have drastically improved! Chiropractic and NAET have made an impact into my families lives.

Stacy K
Las Vegas, NV

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