Switch to Main Site
Practice Name

Chaparral Wellness Clinic

Social Media
Primary Location
7908 E. Chaparral Road #B109
Scottsdale, AZ 85250
Phone: 480-994-8900
Fax: 480-994-4665

Office Hours

DayMorningEvening
Monday8:30-12:303-6
Tuesday1-6
Wednesday8:30-12:303-6
Thursday1-6
Friday8:30-12:30
Saturday10:00-1:00
SundayClosedClosed
Main Content

Chaparral Wellness Clinic offers our patient form(s) online so you can complete 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.


Personal Injury New Patient Health History Form

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Patient Forms

Accident Questionnaire Page 1

Accident Questionnaire Page 2





Download the Free AdobeReader®

Special Offers

Name: *
Email: *
Phone: *

Testimonial

Last week I hobbled into Dr. Chism's office in a great deal of pain; after my treatment I walked out with no pain. I then went off and went to dinner with friends and had a wonderful evening.

Ruth L. -
Scottsdale, AZ


Read More

Follow Us

Make an Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Now

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

Chaparral Wellness Clinic
7908 E. Chaparral Road #B109
Scottsdale, AZ 85250
Get Directions
 
  • Phone: 480-994-8900
  • Fax: 480-994-4665
  • Email Us
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions

Office Hours

DayMorningEvening
Monday8:30-12:303-6
Tuesday1-6
Wednesday8:30-12:303-6
Thursday1-6
Friday8:30-12:30
Saturday10:00-1:00
SundayClosedClosed

Newsletter

Newsletter Sign Up










Community Content