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Online Forms

Loebig Chiropractic and Rehab 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 New Patient Form
Download & Print Pediatric New Patient Form
Download & Print Personal Injury Form
 


Ideal Protein Order Form

Download & Print Form

Ideal Protein Health Profile

Download & Print Form



Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday:

7:30 am-5:30 pm

Tuesday:

12:00 pm-5:30 pm

Wednesday:

7:30 am-5:10 pm

Thursday:

7:30 am-5:30 pm

Friday:

7:30 am-2:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

Massage Therapy Open

Testimonials

Reviews By Our Satisfied Patients

  • ""Dr. Loebig is unique in that he doesn't merely "see" patients. He becomes invested in his patients' condition. If you are not improving, he will ask questions and create a new plan of treatment. He won't give up on anyone. I feel completely confident that I am receiving the best and most current chiropractic care at Loebig."
    Susan P.
  • ""I have been going to Glenn for 17 years. I could not imagine seeing another chiropractor. After 17 years saying he is good at what he does is a given. More importantly it's about the trust and the personal attention he gives to each patient. It's about his patience, his genuine care and attention I see him give to every patient. DC is full of good doctors. I would highly recommend Dr. Loebig - I drive 45 minutes to see him and consider every minute worth it."
    Christine C.
  • ""By far my best experience ever with Chiropractic care. As a PGA Golf Professional, I cannot afford to have an injury slow me down. Glenn keeps my back, neck and hip aligned allowing me a pain and injury free golf swing. At my age and time spent on the course, it is more important than ever. I have known Glenn for almost 20 years and cannot say enough good things about him and his professional staff!"
    Chuck W.