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317-674-8857
connect@liferefined.com

Life Refined Chiropractic
14297 Bergen Boulevard
Suite 100
Noblesville, IN 46060

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New Patient Forms


We offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:

  1. Open the attachment and download to your computer.

  2. Important: Do not complete the forms in your internet browser or it will not save your information.

  3. If the forms open in your web browser by default, close the window and open the PDF file using Adobe Reader.

  4. Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, Get AdobeReader® FREE

  5. Complete all the questions on the forms digitally.

  6. Save the file to your computer with your first name and last initial.

  7. Attach and email the form to connect@liferefined.com 48 hours before your first visit.

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