office hours
  Morning Afternoon
M9:00am - 12:00pm2:30pm - 6:00pm
T7:30am - 12:00pm2:30pm - 6:00pm
W9:00am - 12:00pm2:30pm - 6:00pm
Tclosed
F9:00am - 12:00pm2:30pm - 6:00pm
Sclosed
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Call Today:
(616) 531-1500
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Online Forms

New Patient paperwork

We offer our paperwork online so you can complete it in the convenience of your own home.


New Patient Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print New Chiropractic Patient Form

  New Nutritional Patient Health Assessment Form

  New Nutritional Patient Information 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.




Dr. Randy Wilcox & Dr. Amy Bale
935 52nd Street Southeast, Kentwood, MI | (616) 531-1500