Online Forms

<a href="/storage/app/media/informed-consent.pdf" data-source-type="external-link"></a><a href="/storage/app/media/informed-consent.pdf</a><span">https://my.chiromatrix.com/002...</a> style="color: rgb(49, 133, 155);" data-redactor-style-cache="color: rgb(49, 133, 155);" data-redactor-span="true">

East Detroit Chiropractic Center 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.

Download & Print Conditions of Acceptance Form

Download & Print New Patient Paperwork 

Download & Print Informed Consent Form

Download & Print Insurance Assignment Form

Download & Print Privacy Practices Acceptance Form

Download & Read Notice of Privacy Practices



Download the Free AdobeReader®


Location

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Office Hours

Our Regular Schedule

JOHN M. DIMASI, DC

Monday

9:00 am - 7:00 pm

Tuesday

9:00 am - 1:00 pm

Wednesday

9:00 am - 7:00 pm

Thursday

Closed

Friday

9:00 am - 7:00 pm

Saturday

9:00 am - 1:00 pm

Sunday

Closed

STEVEN L. VERGOTE, DC

Monday

10:00 am - 6:00 pm

Tuesday

3:00 pm - 6:00 pm

Wednesday

10:00 am - 6:00 pm

Thursday

Closed

Friday

10:00 am - 6:00 pm

Saturday

9:00 am - 1:00 pm

Sunday

Closed

NATHAN J. LYONS, DC

Monday

9:00 pm - 6:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

9:00 am - 1:00 pm

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 6:00 pm

Saturday

9:00 am - 1:00 pm

Sunday

Closed

STEVEN M. BROWN, LMT

Monday

Closed

Tuesday

Closed

Wednesday

9:00 am - 7:00 pm

Thursday

Closed

Friday

11:00 am - 7:00 pm

Saturday

9:00 am - 1:00 pm

Sunday

Closed

NANETTE L. CARPENTER-LUTZ, LMT

Monday

2:00 pm - 7:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

Closed

Thursday

Closed

Friday

Closed

Saturday

Closed

Sunday

Closed

JOHN M. DIMASI, DC

Monday
9:00 am - 7:00 pm
Tuesday
9:00 am - 1:00 pm
Wednesday
9:00 am - 7:00 pm
Thursday
Closed
Friday
9:00 am - 7:00 pm
Saturday
9:00 am - 1:00 pm
Sunday
Closed

STEVEN L. VERGOTE, DC

Monday
10:00 am - 6:00 pm
Tuesday
3:00 pm - 6:00 pm
Wednesday
10:00 am - 6:00 pm
Thursday
Closed
Friday
10:00 am - 6:00 pm
Saturday
9:00 am - 1:00 pm
Sunday
Closed

NATHAN J. LYONS, DC

Monday
9:00 pm - 6:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 1:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 6:00 pm
Saturday
9:00 am - 1:00 pm
Sunday
Closed

STEVEN M. BROWN, LMT

Monday
Closed
Tuesday
Closed
Wednesday
9:00 am - 7:00 pm
Thursday
Closed
Friday
11:00 am - 7:00 pm
Saturday
9:00 am - 1:00 pm
Sunday
Closed

NANETTE L. CARPENTER-LUTZ, LMT

Monday
2:00 pm - 7:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
Closed
Thursday
Closed
Friday
Closed
Saturday
Closed
Sunday
Closed