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Daniel T. Shea DC, PC 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.

New Patient Health History Form - Required

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!

Download & Print Form

HIPAA Privacy - Policies and Procedures

Notice of Privacy Policies


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

Exclusive Offer, New Patients receive Free Consultation.

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

Office Hours

Big Rapids Office Hours:

Monday, Wednesday
9 am -12 noon & 2:00 pm - 5:30 pm
Friday
8am-1pm

Grand Rapids Office Hours:

Tuesday & Thursday
9 am - 11:30 am & 2:00 pm - 5:30 pm
(Saturday mornings & Sunday afternoons by appointment only)

Dr. Dietrick's Office Hours

Tuesday & Thursday
7 am - 7 pm
Saturday
8 am - 3 pm

Dr. Dietrick's Big Rapids Office Hours

Tuesday, 7am -7pm
Thursday 7am-7pm
Saturday: 8am - 3pm


3D Spine Simulator

Launch
 3D Spine Simulator

Testimonial

I have been a patient of Dr. Shea for over twenty years. He is very caring and works magic at making me feel better! Very intentional and helpful. He has taken the time to show me how to go about doing the exercises.

John L.
Big Rapids, MI

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