11723 Old Glenn Highway, #101

Eagle River, AK 99577 US

(907) 696-4878

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Online Forms

Northern Chiropractic offers our patient form(s) online so they can be completed it 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.

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!

New Patient Health History Form - Required

Download & Print Chiropractic Form

Pain Scale Assessments - Optional

Download & Print Neck Disability Index Form

Download & Print Oswestry Low Back Pain Scale Form

Download & Print LEFS Lower Extremity

Download & Print QuickDash Upper Extremity

Massage Intake - Optional

Download & Print Massage Form

HIPPA - Optional

Download & Print HIPPA Privacy Policy


Download the Free AdobeReader®

Sign-up using the form or call us at 907-696-4878 to make your appointment today!

Office Hours

Our Regular Schedule

Northern Chiropractic

Monday:

7:00 am - 5:00 pm

Tuesday:

8:00 am - 6:00 pm

Wednesday:

7:00 am - 5:00 pm

Thursday:

8:00 am - 6:00 pm

Friday:

8:00 am - 11:00 am

Saturday:

Closed

Sunday:

Closed

Location

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Testimonial

  • "I have been a patient of Dr. Greg’s since 1996. Back when my children were still young and he had none. Dr. Greg has helped me in many ways, from injury, recovery to keeping me mobile through an extremely long and difficult medical issue. Barb his senior massage therapist has been right there providing massage treatment that complimented Dr. Greg’s therapy. His entire office staff is very sweet, nice and professional. That is why I refer Dr. Greg and Northern Chiropractic at every opportunity."
    Dana C. / Chugiak

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