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Online Forms

Brien Chiropractic Clinic 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 (Printed) - 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 for an Adult

Download & Print Form for an Adult [1] (Spanish)

Download & Print Form for a Minor

Download & Print Form for a Minor [2] (Spanish)

Personal Injury / Auto Accident

Download & Print Form for an Adult

Download & Print Form for an Adult [1] (Spanish)

Download & Print Form for a Minor

Download & Print Form for a Minor [2] (Spanish)


United Health Care Visit Approval Form

Download & Print Form


Release of Records

Download & Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Luling Clinic

Monday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Tuesday:

8:30 am-12:00 pm

Closed

Wednesday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Friday:

8:30 am-12:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Kenner Clinic

Monday:

10:00 am-12:00 pm

2:00 pm-6:30 pm

Tuesday:

8:30 am-12:00 pm

Closed

Wednesday:

10:00 am-12:00 pm

2:00 pm-6:30 pm

Thursday:

8:30 am-12:00 pm

2:00 pm-5:00 pm

Friday:

8:30 am-12:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "I have found Brien Chiropractic Clinic to be both professional and helpful. I am very satisfied with my treatment as well as the friendly and welcoming staff. I would and have recommended this office to friends and family. My job as an educator is very stressful. I find Dr. Brien’s services help me to deal with this daily stress." Dr. Brien."
    Laurie B.

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