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Online Forms


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

  • If you do not already have AdobeReaderĀ® installed on your computer,Click Here to download
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Chiropractic 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


New Patient Natural Medicine Form

Please fill out this form if you are seeing Dr. Elyse for natural care medicine.

Download & Print Form


New Patient Acupuncture Form

Please fill out this form if you are seeing Dr. Elyse for Acupuncture

Download & Print Form


New Patient PIP Form

Please fill out this form if you are seeing Dr. Elyse for a Personal Injury Case.

Download & Print Form

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Location

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Location

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Office Hours

Monday:

Closed

Tuesday:

9:00 AM-6:00 pm

Wednesday:

9:00 AM-6:00 pm

Thursday:

9:00 AM-6:00 pm

Friday:

9:00 AM-4:00 pm

Saturday:

8:00 am-3:00 pm

Sunday:

Closed