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Practice Name

Great Lakes Chiropractic

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Primary Location
601 East Chicago Road
Coldwater, MI 49036
Phone: (517) 278-7246
Fax: (517) 279-2858

Office Hours

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We have included some of our forms here for your convenience so you can fill them out in the comfort of your own home and save time on your first visit. These forms will also be available in our office when you arrive.

What you should bring to your 1st appointment

  • any insurance information you may have
  • a picture ID or driver’s license
  • any X-rays / MRI’s or other testing if applicable
  • a Patient History Form and any other neccessary forms may be printed and filled-out prior to your arrival.

New Patient History Form - REQUIRED for any New Patient

Print and fill out this form and bring it in with you to save time on your first visit.  This is required for any patient regardless of age, condition, or injury.  If you forget to bring it, that's okay, we have time for you to fill it out when you get here. 

Download & Print Form

Consent to Treat a Minor Form

Are you a current patient and too busy to bring your child in? If you would like for another adult or your own child to come in for an initial visit without you, you may print and sign the consent form.

Download & Print Form

Auto Accident Injury Form or Work Accident Form

Were you injured in an auto or work accident? If you have and are billing your services to one of them, please fill out the applicable an Auto Accident Form or a Work Comp Authorization Form and bring it with you to your appointment. We require prior authorization from the responsible party/insurance company to submit claims.  Please report your accident and obtain permission before your scheduled appointment to avoid delays.

Auto Accident Form - Download & Print Form

Work Comp Authorization Form - Download & Print Form


Review our financial policy as well as give us your insurance information.

We are compliant with the Health Insurance Portability and Accountability Act.

Download & Print Form

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Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make A Payment Paying your medical bills just got easier! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Office Hours

Day Morning Afternoon
Monday 8:00am 6:00pm
Tuesday 8:00am 6:00pm
Wednesday 8:00am 6:00pm
Thursday 8:00am 6:00pm
Friday 8:00am 6:00pm
Saturday 8:00am 12:00pm
Sunday Closed Closed


  • 601 East Chicago Road Coldwater, MI 49036
  • (517) 278-7246
  • Get Directions

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