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NEW PATIENTS: CONSULTATION, EXAM, & X-RAY FOR ONLY $49 CALL 801-972-1222 TO MAKE YOUR APPOINTMENT TODAY!

Online Forms


Peterson Chiropractic offers our patient form(s) online so they can be completed it 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.

Chiropractic Registration Information

Download & Print Form


New Patient Form

Download & Print Form


Auto Accident Intake Form

Download & Print Form



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