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Practice Name

Zen Chiropractic

Social Media
Primary Location
4570 West 77th Street, Suite 140
Edina, MN 55435
Phone: 952-500-8733
Fax: 763-592-8142

Office Hours

DayMorningAfternoon
Monday9 - 14 - 7
TuesdayClosedClosed
Wednesday8 - 14 - 7
Thursday8 - 14 - 7
Friday8 - 1Closed
Saturday9 - 1Closed
SundayClosedClosed
Main Content

Zen Chiropractic 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.

New Patient Health History Form - 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

Authorization to Release Medical 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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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

Dr. Zen is offering FREE consultation for new patients! 

Sign-up using the form or call us at 952-500-8733 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Our Services

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

View Services

DayMorningAfternoon
Monday9 - 14 - 7
TuesdayClosedClosed
Wednesday8 - 14 - 7
Thursday8 - 14 - 7
Friday8 - 1Closed
Saturday9 - 1Closed
SundayClosedClosed

Testimonial

“Dr. Zen’s passion for healing is wonderful. It made me feel that I wanted to be healed. Without Dr. Zen’s help, I didn’t think the performance for opera wouldn’t have been a great success. It feels like I finally found a doctor that can help my neck. Even if it takes a long time I would like his help to heal my neck.”

-Kaori W.

Request an Appointment

Zen Chiropractic
4570 West 77th Street, Suite 140
Edina, MN 55435
Get Directions
  • Phone: 952-500-8733
  • Fax: 763-592-8142
  • Email Us
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