Contact Us

Schedule an Appointment Today

14297 Bergen Boulevard

Suite 100

Noblesville, IN 46060

317-674-8857

connect@liferefined.com

New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Prior to coming in for your first visit, it helps us to have some background information so that we can hit the ground running! Below are the instructions for completing our paperwork:

Open the attachment and download to your computer.


Important: Do not complete the forms in your internet browser or it will not save your information.


If the forms open in your web browser by default, close the window and open the PDF file using Adobe Reader.


Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, Get AdobeReader® FREE


Complete the all questions on the forms digitally.


Save the file to your computer with your first name and last initial.


Attach and email the form to NewPatient@liferefined.com 48 hours before your first visit.

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Life Refined Chiropractic • 14297 Bergen Boulevard Suite 100 • Noblesville, IN 46060 • 317-674-8857

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