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Practice Name

A L Wagner Family Chiropractic

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Primary Location
4719 Shelburne St Ste 2
Bismarck, ND 58503
Phone: 701-557-7455

Office Hours

DayOpenClosed
Monday9am5pm
Tuesday9am*5pm*
Wednesday9am5pm
Thursday9am*2:30pm*
Friday9am3pm
SaturdayClosed
SundayClosed
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If you prefer to complete your new patient forms prior to arriving for your appointment, A L Wagner Family Chiropractic offers our patient forms online so they can be easily printed and 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 appropriate form(s), print it out and fill in the required information.
  • Bring the completed forms with you to your appointment.

New Patient Forms:

Pediatric New Patient Form (Newborn - 12 Years Old):  Download & Print Form

Adolescent New Patient Form (13 - 17 Years Old):  Download & Print Form

Adult New Patient Form (18 - 64 Years Old):  Download & Print Form

Medicare New Patient Form (65 + Years Old):  Download & Print Form

Sign up using the form or call us at 701-557-7455.

Name: *
Email: *
Phone: *

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Schedule An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Office Hours

DayOpenClosed
Monday9am5pm
Tuesday9am*5pm*
Wednesday9am5pm
Thursday9am*2:30pm*
Friday9am3pm
SaturdayClosed
SundayClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9am 9am* 9am 9am* 9am Closed Closed
5pm 5pm* 5pm 2:30pm* 3pm

*Washburn Clinic Hours

  • 4719 Shelburne St Ste 2 Bismarck, ND 58503
  • 701-557-7455
  • Get Directions
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