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Madison Ridge Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

New Patient Health History Form - Required

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!

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Informed Consent

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HIPPA Acknowledgment

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HIPPA Notice of Privacy Policy

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Financial Policy

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Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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Call us at 208-656-3205!

THIS ---->https://2086563205com.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8 - 122 - 5
Tuesday7:305:00pm
Wednesday8 - 122 - 5
Thursday7:305:00pm
Friday8 - 122 - 5
SaturdayBy Appt.Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 - 12 7:30 8 - 12 7:30 8 - 12 By Appt. Closed
2 - 5 5:00pm 2 - 5 5:00pm 2 - 5 Closed Closed

Testimonial

We wanted to say thank you for the excellent service our son received with his ankle injury. Dr. Roderick accommodated us immediately when we called seeking advice. He was able to use his cold laser and ultrasound treatment that sped up the normal healing time. Connor had sprained his ankle two times prior to this last injury that had taken over a couple of weeks to heal. He sprained his ankle a third time in a basketball game on Saturday and was able to perform in a game the next Friday without incident. We appreciate all that Dr. Roderick has done for our son.

Greg & Tiffnie S.
Rexburg, ID

I don't have insurance and they worked with me for affordable visits. The office is clean, bright and friendly. I am very pleased with my treatment and recovery! Just a couple of weeks of therapy using the Graston Technique and I am impressed. Highly recommend them!

Chauntel A.
Rexburg, ID

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