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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home.


Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

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small pdf icon Child – Download & Print Form


Automobile Accident

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Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Call today to schedule your appointment.


Dr. Michael S. Diehm | (480) 491-9699
500 W. Ray Rd, Chandler, AZ
Chiropractic Website by Perfect Patients.