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Tannenbaum Chiropractic offers our Health History patient form online so it 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, print it out and fill in the required information.
  • Fax us your printed and completed form or bring it with you to your appointment.


New Patient Health History Form

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!

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


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Mon 8:00am - 7:00pm
Tue Closed
Wed 8:00am - 7:00pm
Thu 3:00pm - 7:00pm
Fri 9:00am - 7:00pm
Sat 9:00am - 10:30am
Sun Closed

Call Us:
(734) 929-0444
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Contact

Tannenbaum Chiropractic
4059 Stone School Rd
Ann Arbor, MI 48108
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  • Phone: (734) 929-0444
  • Fax: 734-929-0350
  • Email Us

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