Online Forms

Integrity Chiropractic and Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Application Form - Required

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

In order to provide you the best possible wellness care, please complete this form. You may choose to fill it out online or download and print. Kids paperwork only available for download. 

Adult Paper Work

Kids newborn to 12 years

Kids 13 to 17 years

Location

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Office Hours

Our Regular Schedule

Providence Office

Monday:

10:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

3:00 pm-6:00 pm

Wednesday:

10:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

10:00 am-12:00 pm

3:00 pm-6:00 pm

Friday:

10:00 am-12:00 pm

Saturday:

By Appt.

Sunday:

Closed

Testimonial

  • "I have benefited tremendously from the chiropractic care I received from Dr. Wade."
    - Jeffrey L. Providence, UT