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

SUSAN E. CHALMERS, LMT

Monday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Tuesday:

9:00 AM - 1:00 PM

Wednesday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Thursday:

2:00 PM - 6:00 PM

Friday:

2:00 PM - 6:00 PM

Saturday:

9:00 AM - 1:00 PM

Sunday:

Closed

JOHN M. DIMASI, DC

Monday:

9:00 AM - 1:00 PM

3:00 PM - 7:15 PM

Tuesday:

9:00 AM - 1:00 PM

Wednesday:

9:00 AM - 1:00 PM

3:00 PM - 7:15 PM

Thursday:

Friday:

9:00 AM - 1:00 PM

3:00 PM - 7:15 PM

Saturday:

9:00 AM - 1:00 PM

Sunday:

Closed

STEVEN L. VERGOTE, DC

Monday:

9:00 AM - 1:00 PM

3:00 PM - 7:00 PM

Tuesday:

3:00 PM - 6:00 PM

Wednesday:

9:00 AM - 1:00 PM

3:00 PM - 7:00 PM

Thursday:

9:00 AM - 1:00 PM

Friday:

9:00 AM - 1:00 PM

3:00 PM - 7:00 PM

Saturday:

9:00 AM - 1:00 PM

Sunday:

Closed

NATHAN J. LYONS, DC

Monday:

3:00 PM - 6:00 PM

Tuesday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Wednesday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Thursday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Friday:

9:00 AM - 1:00 PM

3:00 PM - 6:00 PM

Saturday:

9:00 AM - 1:00 PM

Sunday:

Closed

  • "Dr. DiMasi puts the skip back into my steps. He takes the time to make sure you are adjusted perfectly. I highly recommend him."
    Gayle C. Roseville, MI
  • "Dr. DiMasi has been treating me off and on for quite a few years. I have had problems with my neck for years. When I first started going to Dr. DiMasi, I really did not have much faith in chiropractors, but I am now a believer. I could not turn my neck without pain. I could not turn my neck when backing out of my car. After just 2 visits, my neck was greatly improved. Now when I feel a twinge, I see Dr. DiMasi. He is not only a great chiropractor, but a good person. I cannot say enough good things about him or his staff; (they are) always pleasant."
    Mary V. St. Clair Shores, MI