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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 a Minor


Personal Injury / Auto Accident

Download & Print Form for an Adult

Download & Print Form for a Minor


United Health Care Visit Approval Form

Download & Print Form


Release of Records

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

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

Office Hours

DayMorningAfternoon
Monday8:30am - 12pm2pm - 5pm
Tuesday8:30am - 12pmClosed
Wednesday8:30am - 12pm2pm - 5pm
Thursday8:30am - 12pm2pm - 5pm
Friday8:30am - 12pmClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am - 12pm 8:30am - 12pm 8:30am - 12pm 8:30am - 12pm 8:30am - 12pm Closed Closed
2pm - 5pm Closed 2pm - 5pm 2pm - 5pm Closed Closed Closed

Kenner Clinic

Day Morning Afternoon
Monday 10am - 12pm 2pm - 6:30pm
Tuesday 8:30am - 12pm Closed
Wednesday 10:30am - 12pm 2pm - 6:30pm
Thursday 8:30am - 12pm 2pm - 5pm
Friday 8:30am - 12pm Closed
Saturday Closed Closed
Sunday Closed Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10am - 12pm 8:30am - 12pm 10am - 12pm 8:30am - 12pm 8:30am - 12pm Closed Closed
2pm - 6:30pm Closed 2pm - 6:30pm 2pm - 5pm Closed Closed Closed

Testimonial


"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 Breaux - teacher
Luling, LA

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