Jasper, Indiana

Contact Us

An updated website for Active Chiropractic and JasperChiro.com is coming soon. For now, please utilize this website and call to schedule.

Active Chiropractic and Rehabilitation

209 3rd Avenue, Jasper, Indiana 47546, United States

812-482-4269

Hours

Today

By Appointment

New Patients, please print, complete, and bring the new patient form at your first visit.

Alternatively, this form is available in the clinic. If you chose to complete in the clinic, please arrive 15 minutes early.

Please utilize the following links at the interval in parenthesis to facilitate your visit.

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New Patient Form (1st visit)

Check in (Each Visit)

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2022 Acupuncture Consent Form (Once/year)

2022 Medicare ABN Form (Once/Year)

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Prior to your appointment, please be sure to change into the appropriate apparel for your specific region of complaint(s).

Appropriate apparel
- T-shirt for Upper Extremity, Neck, and Upper Back Complaints
- Shorts and Bare Feet for Lower Back and Lower Extremity Complaints.
Restrooms are available for changing.

Outcome Assessment Tools

To track progress and to satisfy insurance guidelines, please complete the applicable form(s) below related to your primary and/or secondary complaint at your first visit of the month. Compliance may affect insurance coverage.

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NECK AND UPPER BACK (Once/month)

Mid to Low Back and Pelvis (once/month)

Upper Extremity (once/month)

Lower Extremity (once/month)

Are you happy with how you are being treated? Let others in Jasper know.

Also consider leaving a review on Google.

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Jasper Review

Not happy with how you are being treated? Let us know.

Constructive criticism is how we grow and improve.