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Online New Patient Forms

To expedite the new patient registration process, we encourage you to fill out your forms before your appointment.

Printable Forms

We have the forms available below for you to download and complete before your appointment.

New Patient Adult Form

New Patient Pediatric Form

Online Reactivation Forms

To expedite the re-activation process, we encourage you to fill out your forms before your appointment. To ensure that patients are receiving the best care possible, patients who have not been seen for 90 days or more are required to complete re-activation forms prior to resuming care.

Reactivation Adult Form

Reactivation Pediatric Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

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Business Hours

SaturdayBy Appt.Only
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am By Appt. Closed
6:00pm 6:00pm 6:00pm 6:00pm 6:00pm Only Closed

Jonathan Lazar's Practice has been voted as one of the Top Ann Arbor Chiropractic practices. Verified by Opencare.com

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Great staff, great customer care. I feel happier, stronger and younger, thanks to the delicate adjustments made by Dr Lazar.

Sergio V.
Ann Arbor, MI

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