New Patient Paperwork

Diegel Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Paperwork

    Click to Download

  • Massage Client Information

    Click to Download

  • Good Faith Estimate

    Click to Download

  • Client Experience Questionnaire

    Click to Download

OFFICE HOURS
Appointments Only, No Walk-Ins


Monday
9:00am - 12:00pm
2:00pm - 6:00pm


Tuesday
*9:00am - 12:00pm*
2:00pm - 7:00pm


Wednesday
9:00am - 12:00pm
2:00pm - 6:00pm


Thursday
*9:00am - 12:00pm*


Friday
9:00am - 12:00pm
2:00pm - 6:00pm


Saturday
9:00am - 12:00pm


Sunday
Closed


*Dr. Nick Hartop's Hours*

Diegel Chiropractic

49780 Van Dyke Ave
Shelby Twp, MI 48317
P: (586) 254-2060
F: (586) 254-2948