Gardner Schofield Chiropractic: West Bend Chiropractic Office Accepts Most Insurance

New Patient Forms

Gardner Schofield Chiropractic offers our patient forms online so they can be 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 necessary forms from the list below that pertain to your visit, print them out and fill in the required information.
Bring them with you on your first appointment.

New Patient Intake Form

Completion of this form helps us to understand your health history and the current state of your health. What questions, concerns or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!

DOWNLOAD AND PRINT FORM

Free NUCCA Report

Have questions about NUCCA? Download the PDF below to learn more! Any further questions please come visit us and we’d be happy to answer any questions.

DOWNLOAD AND PRINT FORM

Natalie K

“I was referred to Dr. FJ by my parents because of issues with headaches, high pressure, and difficulty sleeping. My wife and I were impressed with the upfront and understandable explanation of fee and payment options. The whole staff was... Read More”

Steven A

“I was diagnosed with MS in the spring of 2014. In the winter of 2014 I was experiencing a recurring back pain from when I was in high school. I started going to see Dr. FJ in December of 2014... Read More”

Ericka S

“I have been very happy with the care I have received. I had severe arm pain, tingling, and numbness. I thought I may need surgery the pain was so great. However, Dr. FJ was able to reduce and then eliminate... Read More”

Katie P

“I got the referral from my dad due to having issues with TMJ. I had never been in to see a chiropractor but figured it couldn’t hurt any. After a few visits my jaw felt great! I absolutely love the... Read More”

Laura L

“My husband is a regular there at least twice a week. It helps to maintain a lower level of pain due to a chronic back issue he has been having for many years. I went all the time after i... Read More”

Sharon K

“Great chiropractors and staff.Show genuine concern.My granddaughter gets adjustments there and feels very comfortable with Dr.Fj. If you have been to other chiropractors or doctors and still not satisfied ,try Gardner Schofield chiropractic, well worth it. I know I will... Read More”

Sharon M

“Dr. Schofield definitely helped me with sciatica. It didn’t happen overnight, but after a dozen or so treatments I finally was without pain. He is serious about his work, and I regard him as THE BEST. I would suggest you... Read More”

Katy S

“This has been a bad week for this mother of four. I came down with pneumonia, had to miss conducting my schools Christmas concerts because I was so sick and threw my neck out from coughing so hard. I called... Read More”

Alex P

“I came in about 6 weeks ago with extreme lower back pain (which I had never had before). Dr. FJ was able to diagnose what was wrong and set up regular appointments. Since I have started going to this chiropractor,... Read More”

Diana S

“I had been experiencing chronic back pain for over 5 years! It hurt to sit down, it hurt to bend over, it hurt practically all the time… I thought it was something I was going to have to live with... Read More”

$97 NUCCA Evaluation

Special Offer* Includes ($445 value):

Consultation
NUCCA Evaluation
Advanced NUCCA Analysis
Report

Try our no obligation, risk-free offer & let’s see if we can fix the underlying cause of your problem.

*may not be valid for Medicare or Medicaid

Schedule Appointment

Call us at

(262) 334-8188

or click the button

to schedule your appointment!

SCHEDULE APPOINTMENT

Office Hours

Mon: 8:30am - 12pm & 2:30pm - 6pm

Tues: 2:30pm - 6pm

Wed: 8:30am - 12pm & 2:30pm - 6pm

Thurs: 8:30am - 12pm & 2:30pm - 6pm

Fri: Closed

Sat: By appointment

Sun: Closed

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Schedule Your Appointment with Gardner Schofield Chiropractic
Call (262) 334-8188 or Click Below to Request an Appointment Online.

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