Online Forms

Health Choice 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.

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

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If you suffer symptoms from back, neck, arm, leg pain; sciatica, headaches, migraines, numbness, tingling, arthritis, sciatica, pinch nerve, shoulder pain, it may be cause by a spinal subluxation (nerve irritation) that may need a chiropractic spinal adjustment.   Call 586-286-1100 today.  

Chiropractor near me, Dr. Ray Kaminski in Clinton Township, Macomb County and Detroit, Wayne County also Serving Shelby Twp. Michigan,  Macomb County, Washington Township, Chesterfield Township MI, Harrison Township, Mount Mt. Clemens, New Baltimore Michigan, Utica, and Sterling Heights, Warren, Center Line, Mt. Clemens, Roseville, Warren, East Detroit, St. Clair Shores, Harper Woods, Grosse Pointes, 

We got your total chiropractic health care, infants, children, adult to seniors.  We are providers in most insurance net works. Health Choice Chiropractic specializing in no fault auto accidents including minor fender bender accidents which sometimes can cause injuries to the spine, workers compensation, personal injury and sports medicine .  We specialize in chiropractic, which includes muscle, bone, disc and nervous systems of your spine. If you suffer from mid back pain, upper back pain, neck pain, arm pain, leg pain, sciatica pain, low back pain, headache pain, numbness, leg pain; sciatica pain, shoulder pain, arthritis pain, migraine pain, tingling in arms or legs hips,  Your symptoms may be contributed or caused by a Vertebral Subluxation (nerve irritation, pressure, spinal misalignment).  Get pain relief today, call for you complimentary consultation at 586-286-1100. 

New Patients Receive a Free Consultation


Office Hours


10:00 am -1:30 pm

3:00 pm -7:00 pm


Call 586-286-1100

For Appointment


10:00 am -1:30pm

3:00 pm -7:00 pm


Call 586-286-1100

For Appointment


10:00 am -1:30 pm

3:00 pm -7:00 pm


Call To Make Appointment