DOCKTER-LUTZ CHIROPRACTIC
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Your First Visit

All new patients are required to fill out our new patient paperwork. This paperwork is provided for you below. If you wish, you can print it off and bring it in with you the day of your appointment to save you time. If you are unable to print off the paperwork, please allow 10 minutes before your appointment to fill it out at our office. If you have major medical insurance, please bring your updated insurance card. No insurance? No problem! We offer affordable cash plans. We look forward to seeing you soon!
New Patient Heath History
File Size: 172 kb
File Type: doc
Download File

Massage Intake
File Size: 37 kb
File Type: docx
Download File


We accept most major medical insurances!

BlueCross BlueShield
Cigna
Health Partners
Humana Choice
​Medica
Medicare
Medicaid/MHCP
UCare for Seniors


*Please call one of our clinics if you do not see your insurance company listed. We would be happy to look up coverage information for you.

Pine City Family Chiropractic

805 2nd Street. SE
Pine City, MN 55063
320-629-6717
​FAX 320-629-6718 ​

Dockter-Lutz Chiropractic

620 Civic Heights Drive, STE 108
Circle Pines, MN 55014
763-795-8300
FAX 763-795-8302
  • Home
  • Our Doctors
  • Services
    • The Gonstead Technique
    • Chiropractic Care
    • Massage Therapy
    • Acupuncture
    • Supplements >
      • Systems Survey
    • Treatment Plans
    • X-Rays
    • Yoga & Fitness
  • Locations
    • Circle Pines
    • Pine City
  • Conditions
    • Auto Injuries
    • Sports Injuries
    • Neck Pain
    • Back Pain
  • Contact
  • Careers
    • Massage Therapist
    • Yoga & Fitness Instructor
  • Systems Survey