Patient Forms

Dear new patient,

Thank you for choosing Bloomfield Chiropractic Center for your health and wellness needs. Please follow the link below to our new patient portal. It will go through your demographic information, history and complaints. When you are filling out your health complaints click on the picture to highlight the area of pain and go through the questionnaire. You can only do one area of the body at a time. For example if you are having neck problems go through and fill out all the information for that then at the end it will ask if you have any other complaints hit yes and go to the next area.

Also bring in a list of any medication you might be taking.

Click here and it will take you to our secure site

Office Hours

Our General Schedule

Monday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Tuesday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Wednesday:

9:00 am-12:30 pm

3:30 pm-6:00 pm

Thursday:

Closed

Friday:

9:00 am-12:30 pm

2:30 pm-6:00 pm

Saturday:

By Appointment Only

Sunday:

Closed

Our Location

5755 West Maple Road, Suite 107 | West Bloomfield, MI 48322