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Practice Name

Dynamic Chiropractic and Wellness Center

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Primary Location
952 S. Park Avenue
Fond du Lac, WI 54935
Phone: 920-921-9100
Fax: 920-929-0464

Office Hours

Day
Monday7:45am6:00pm
Tuesday7:30am4:00pm
Wednesday7:00am -12:00pm2:00pm - 6:00pm
ThursdayClosed12:30pm - 5:00pm
Friday7:45am1:30
SaturdayClosedClosed
SundayClosedClosed
Main Content

Dynamic Chiropractic and Wellness Center offers our patient form(s) online so they can be completed 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.

New Patient Information Form -Required

Download & Print Form

Health Questionnaire -Required

Download & Print Form

Neck Assessment

Download & Print Form

Low Back Assessment

Download & Print Form

Pediatric Health Record Ages 0-12

Download & Print Form


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 office. You can print it out and bring it in to our office 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®

New Patients

Feel Dynamic, Think Dynamic, Live Dynamic, Be More Dynamic Every Day!

Sign-up using the form or call us at 920-921-9100

Name: *
Email: *
Phone: *

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Testimonials

My experience at Dynamic has given me back my flexibility, energy, and the ability to knit again! I had been having a lot of wrist pain and numbness. I highly recommend the Dynamic Chiropractic and Wellness Center to anyone interested in having a truly quality Life! Very grateful to you all!

- Linda Krause / Fond du Lac, WI

Office Hours

Day
Monday7:45am6:00pm
Tuesday7:30am4:00pm
Wednesday7:00am -12:00pm2:00pm - 6:00pm
ThursdayClosed12:30pm - 5:00pm
Friday7:45am1:30
SaturdayClosedClosed
SundayClosedClosed

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Contact

Dynamic Chiropractic and Wellness Center
952 S. Park Avenue
Fond du Lac, WI 54935
Get Directions
  • Phone: 920-921-9100
  • Fax: 920-929-0464
  • Email Us
Newsletter

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Community Content
Member Wellness