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LifeQuest Physical Medicine and Rehab 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 Paperwork

Download & Print Form

OR

Click Here to complete paperwork online


Terms of Acceptance

Download & Print Form


Massage Intake Form

Download & Print Form


Pediatric Care

Download & Print Form


Personal Injury Paperwork

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

Sign up now for a $20 New Patient Appointment!

THIS ---->https://lifequestarizonacom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9 - 122 - 6
TuesdayClosed2 - 6
Wednesday9 - 122 - 6
Thursday9 - 122 - 6
Friday8 - 12Closed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 - 12 Closed 9 - 12 9 - 12 8 - 12 Closed Closed
2 - 6 2 - 6 2 - 6 2 - 6 Closed Closed Closed

Testimonials

 I have had sciatic pain for years! throwing hundreds of dollars for massages that only temporarily helped. Dr. Scharf understood sciatic and back pain personally and has helped me find a long term solution. I have less pain, more energy and a better understanding of how to manage my sciatic. This is the office to go to if you want long term relief.

Kellen E.
Chandler, AZ

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