Online Forms

Ajax 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.

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!


Download the Free Adobe Reader®

Location

Click the map to view the location nearest to you

Office Hours

Our regular schedule
Primary Location
Monday:
07:45 am - 11:00 am
03:00 pm - 07:00 pm
Tuesday:
07:45 am - 12:30 pm
03:00 pm 06:00 pm
Wednesday:
07:45 am - 11:00 am
03:00 pm - 07:00 pm
Thursday:
07:45 am - 12:30 pm
03:00 pm - 07:00 pm
Friday:
Closed
Saturday:
09:00 am - 12:00 pm
Sunday:
Closed
Testimonials
Reviews By Our Satisfied Clients
"Dr. Mark and Dr. Mike are both dedicated doctors who go out of their way for their patients, and are constantly striving to provide the best care possible. Highly recommended!"
Byron M.
"I've known Dr. Mark and Dr. Mike for more than a decade now. I have always been so impressed by them and their commitment to the people they serve. They are truly gifted Doctors and healers! Thanks Dr. Mike and Dr. Mark for all you do for me and so many others!"
Mark F.
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