Online Forms

Madison Ridge Chiropractic 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


Informed Consent

Download & Print Form


HIPPA Acknowledgment

Download & Print Form


HIPPA Notice of Privacy Policy

Download & Print Form


Financial Policy

Download & Print Form



Download the Free AdobeReader®

Call us at 208-656-3205!

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Tuesday:

7:30 am-5:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

7:30 am-5:00 pm

Friday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Saturday:

By Appointment

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "We wanted to say thank you for the excellent service our son received with his ankle injury. Dr. Roderick accommodated us immediately when we called seeking advice. He was able to use his cold laser and ultrasound treatment that sped up the normal healing time. Connor had sprained his ankle two times prior to this last injury that had taken over a couple of weeks to heal. He sprained his ankle a third time in a basketball game on Saturday and was able to perform in a game the next Friday without incident. We appreciate all that Dr. Roderick has done for our son."
    Greg & Tiffnie S. | Rexburg, ID
  • "I don't have insurance and they worked with me for affordable visits. The office is clean, bright and friendly. I am very pleased with my treatment and recovery! Just a couple of weeks of therapy using the Graston Technique and I am impressed. Highly recommend them!"
    Chauntel A. | Rexburg, ID

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