Online Forms

Burkhalter Chiropractic, SC 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


Download the Free AdobeReader®

Locations

Find us on the map

Office Hours

Our Regular Schedule

Monday:

7:30am - 12:00pm

1:00pm - 6:00pm

Tuesday:

8:00am - 12:00pm

Closed

Wednesday:

7:30am - 12:00pm

1:00pm - 6:00pm

Thursday:

Closed

Closed

Friday:

7:30am - 12:00pm

1:00pm - 5:00pm

Saturday:

By Appt.

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I started seeing Dr. Ron after a terrible car accident. He evaluated me, took x-rays and helped me with my Whiplash. I was so happy I chose Burkhalter Chiropractic. He took the time to get to know me and my spine. I no longer have those horrible headaches or the neck pain I once had. I recommend Burkhalter Chiropractic to all my friends and family."
    -D.K. Baraboo, WI
  • "I first brought my son to Dr. Melanie when he was just 1 month old. A friend recommended her. She called her the 'Baby Whisperer'. My son, Travis was not a content baby. He seemed uncomfortable all the time. He had trouble going to the bathroom on a regular basis. Our MD said he had Colic. Dr. Melanie used gentle adjustments on his spine and he seemed better after the very first time. The best part was that he slept that night for 7 hours straight! He continues to see her and hasn't had a problem since. I'm so happy with the care Travis received at Burkhalter, that my whole family now goes for adjustments."
    -K.P. Reedsburg, WI