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PATIENT PORTAL

Lorentz Optimal Health is dedicated to providing you with the highest quality, cost effective chiropractic care for the whole family. We accept cash, all major credit and debit cards, HSA accounts, and Zelle.

New Patient Forms: 

 

We're excited to say that all of our Adult and Pediatric New Patient Forms are available online and will be sent to you via email when you schedule your initial appointment! 

*Animal forms will still need to be printed, signed by your vet, and brought with you to the initial appointment.

If you are interested in having your pet adjusted, please print out the form below and take it to your vet to sign before the appointment. 

Please bring the completed Vet Referral Form, along with the following consent form to your animal appointment with Dr. Lorentz.

 

There is an additional $20 fee for completion of forms for use outside of the patient's medical record, including:

  • Disability

  • Disabled Parking Permits

  • Life Insurance

  • Family Medical Leave

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