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Main Street 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.

Adult Health Record

Download & Print Form


Pediatric Health Record: Age 0-13

Download & Print Form



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Exclusive Offer

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Sign-up using the form or call us at 618.656.6565 to take advantage of this exclusive offer.

THIS ---->https://docbaird.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:30 - 123 - 6
TuesdayBy Appt.By Appt.
Wednesday8:30 - 123 - 6
ThursdayClosed3 - 6
Friday8:30 - 2Closed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 - 12 By Appt. 8:30 - 12 Closed 8:30 - 2 Closed Closed
3 - 6 By Appt. 3 - 6 3 - 6 Closed Closed Closed

Testimonial

Main Street Chiropractic has been and continues to be a major part of my health and wellness. When you walk in, you are welcomed by the wonderful staff. I am always greeted with a smile and a heartfelt hello.  Throughout the office, you feel a sense of joy, peace, patience, kindness and goodness.  These are some of the fruits of the Spirit found in Galatians 5:22.  The reason I say this is because Dr. Baird and his staff are Christians.  I know that Dr. Baird and his staff serve with the gifts and talents that they have been blessed with.  Healing is physical, mental, emotional and spiritual at Main Street Chiropractic.

Connie V.
Glen Carbon, IL

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