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Practice Name

Dietrich Chiropractic, SC

Primary Location
1105 West Grand Avenue
Wisconsin Rapids, WI 54495
Phone: 715-423-4050
Fax: 715-424-3108

Office Hours

Day
Monday7:30 am5:30 pm
Tuesday8:30 am5:00 pm
Wednesday7:30 am5:30 pm
Thursday9:00 am -12:00 pmFront Desk
Friday7:30 am5:00 pm
SaturdayClosedClosed
SundayClosedClosed
Main Content

Dietrich Chiropractic, SC offers our patient form(s) online so you can complete 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.


New Patient Health History Form - Required

This let's 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



Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

New Patients receive a complimentary consultation

Name: *
Email: *
Phone: *


Meet the Doctors

Dr. John Dietrich II has been happily serving the Wisconsin Rapids area since 2000. A native of Onalaska, WI, and since taking his first high school anatomy class...

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Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Dietrich Chiropractic, SC
1105 West Grand Avenue
Wisconsin Rapids, WI 54495
Get Directions
 
  • Phone: 715-423-4050
  • Fax: 715-424-3108
  • Email Us

Office Hours

Day
Monday7:30 am5:30 pm
Tuesday8:30 am5:00 pm
Wednesday7:30 am5:30 pm
Thursday9:00 am -12:00 pmFront Desk
Friday7:30 am5:00 pm
SaturdayClosedClosed
SundayClosedClosed
Newsletter

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Community Content
Member Wellness