Online Forms

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

  • If you do not already have AdobeReader® 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.

Case History - Required

Download & Print Form


EHR History - Required

Download & Print Form


Informed Consent - Required

Download & Print Form


Download the Free Adobe Reader®

Our Locations

Office Hours

Monday:

7:00 am-11:00 am

2:00 pm-6:00 pm

Tuesday:

Adrian Office 8 am - 12 pm

Hudson Office Closed

Wednesday:

7:00 am-11:00 am

2:00 pm-6:00 pm

Thursday:

Adrian Office 8 am -12 pm

Hudson 2 pm - 6 pm

Friday:

7:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews From our Satisfied Patients

  • "I was very impressed with the chiropractic care I received from Borck. I had received chiropractic in the past for my neck pain, but not to this level of care. After only a few sessions, my symptoms began to disappear, especially my neck pain, and I know I would not have been able to perform to my everyday work functions without the treatment I received."
    John Doe / HUDSON, MI
  • "As a court reporter, using my hands to type on a daily basis is a requirement. The work is speedy and can often last for hours at a time. Several months ago, every movement I made became excruciatingly painful. I started seeing Borck and got started on a program that helped right away. The doctor stressed the importance of my posture and proper hand and arm placement."
    Jane Smith / HUDSON, MI
  • "I have benefited tremendously from the chiropractic care I received from Borck. Not only has the adjustments helped alleviate my stiffness and aches, but it has helped me have more energy and just feel more balanced over all. A few months ago, I was able to resume a favorite hobby of mine - golf. Due to my previous pain, I never thought that’d be possible."
    Kelly McDonald / HUDSON, MI