New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Once completed please email forms to activelifebismarck@gmail.com.

New Patient Intake Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Adult - Online Form

Child Age 0-3 - Online Form

Child Age 4-8 – Online Form

Child Age 9-13 – Online Form

Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

Online Form

Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

Online Form

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Patient Reviews

“Dr. Sara and Dr. Doug and the staff are so awesome and always very friendly.  I recommend them to anyone in any pain.  Not just back and neck pain!”

- Nicki W

“Jill was diagnosed at a very young age with Cerebral Palsy. Jill stated to get adjusted by Dr. Sara and in a few short months they started to see huge improvements! Jill now walks very smooth and fluent.”

-Jill

“We hesitated on taking Piper to a chiropractor! My husband and I thought it would be someone cranking on her little neck and that just seemed awful to do to her; but it is nothing like that! It’s gentle to the touch, massages and stretches. It is one of the best things I could have done for my daughter!”

“We would recommend the 21 day cleanse to anyone who is sick and tired of feeling bloated, tired, overweight, unhappy with your appearance and just wanting to do something really good for yourself and your family.  So go ahead, what have you got to lose?”

 

“I have been seeing Dr. Weigel for several years and have always been pleased with the service provided.  My life changed on October 10, 2007 when I was injured by a rocket attack in Baghdad, Iraq. I started seeing Dr. Weigel to assist with pain management, and she was incredible in not only reducing the daily pain issues, but astonishingly, she assisted with my hearing loss. I am a firm believer in chiropractic care and receive the best from Active Life Chiropractic.”

-JP

“Before coming to Active Life, my back and neck pain prevented me from being active at home because my job is physically demanding. Now, I get adjusted regularly and I am able to work all day and spend time with my family at home without being in constant pain.”
- Dylan M

“Any chiropractor I had been to before was a ‘come when you need it’ type of place, and I truly believe the routine maintenance that Dr. Doug and staff suggests is a way better approach to overall comfort and health. I have been seeing Dr. Doug for about 2 years and can’t imagine how life would be if we didn’t find him.


-Kara T

“Returning to Bismarck from a ski trip in Colorado, I grabbed the duffel bag off the carrousel and the pain in my back literally took me to my knees. I decided to try a chiropractor. I talked to a few people and decided to call Active Life. The pain was better after a few visits. After just four weeks, my foot is almost back to normal and I am walking much better. I’m looking forward to a hike in the Black Hills, another trip to Denver and next year hiking in Glacier Park.”

-Phil Viton

“I was having major pain in my right wrist, I could barely grab anything without tremendous pain. I went to see Dr. Weigel and I was 100 % pain free in about a month. I truly believe in chiropractic care because for one you WILL save you money in the long run by using chiropractic care instead of going to the clinic and maybe getting some surgery you don’t need. For another it has helped me in my life to continue forward without pain.”

-Michael

“At 8 months old our daughter, Ella, continued to show “colicky” traits such as inconsolable crying and general discomfort. I was apprehensive about seeking chiropractic care, as I thought it would be invasive and scary for my baby. However, the care at Active Life was just the opposite. The adjustments were gentle and everything was explained before treatment was given. After the recommended treatment Ella seemed so much more content, happy, and interactive.”

-Cassy and Ella

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@fomo1040 has THE best homemade gelato in town! This nice and sunny weather makes us crave this tasty treat! Vote them for Best Ice Cream and Beat dessert in the Best of the Best contest! Link in BIO!
@fomo1040 has THE best homemade gelato in town! This nice and sunny weather makes us crave this tasty treat! Vote them for Best Ice Cream and Beat dessert in the Best of the Best contest! Link in BIO!
Our mission is to help as many families be the healthiest versions of themselves! Help us extend our reach by voting us Best Chiropractic Clinic for the 2020 Best of the Best contest. Link in bio!
Our mission is to help as many families be the healthiest versions of themselves! Help us extend our reach by voting us Best Chiropractic Clinic for the 2020 Best of the Best contest. Link in bio!
If you haven’t tried @brickovenbakerynd yet, you must..Today! They easily get our vote for Best Bakery in The Best of the Best contest! Cast your vote, EVERY DAY until the 24th! Link in bio.
If you haven’t tried @brickovenbakerynd yet, you must..Today! They easily get our vote for Best Bakery in The Best of the Best contest! Cast your vote, EVERY DAY until the 24th! Link in bio.
Happy Friday ! Is there anything better than a brand-new baby, fresh out of the hospital?! 😍 We think not! This sweet little girl is starting her life free of interference! She is set up to thrive through whatever life throws at her! We are more t
Happy Friday ! Is there anything better than a brand-new baby, fresh out of the hospital?! 😍 We think not! This sweet little girl is starting her life free of interference! She is set up to thrive through whatever life throws at her! We are more than thrilled to be there for her and her family!
It’s no secret who our favorite coffee shop is! ☕️ @bittybeancoffee is not only the best place to grab coffee in Bismarck, but have you tried their food!? Delicious. Cast your vote for Best Coffee Shop and Best Food Truck! Link to vote in bio
It’s no secret who our favorite coffee shop is! ☕️ @bittybeancoffee is not only the best place to grab coffee in Bismarck, but have you tried their food!? Delicious. Cast your vote for Best Coffee Shop and Best Food Truck! Link to vote in bio!
It’s that time of year again! Vote for your favorite chiropractic clinic, massage, and fitness center! Link is in profile! 🌟
It’s that time of year again! Vote for your favorite chiropractic clinic, massage, and fitness center! Link is in profile! 🌟
🌟 Well-adjusted kids - GROW well and STAY well!
🌟 Well-adjusted kids - GROW well and STAY well!
Very happy birthday to the newest member of our crew (yesterday), @meyer_amanda ! 🎉
Very happy birthday to the newest member of our crew (yesterday), @meyer_amanda ! 🎉
Why do children see the chiropractor⁉️ 🔻 Let’s start here, is your little one experiencing any of the following: ➖Breastfeeding challenges ➖Colic ➖Reflux ➖Torticollis ➖Bed wetting ➖Sensory processing ➖Sleeping issues ➖Delayed development ➖Dige
Why do children see the chiropractor⁉️ 🔻 Let’s start here, is your little one experiencing any of the following: ➖Breastfeeding challenges ➖Colic ➖Reflux ➖Torticollis ➖Bed wetting ➖Sensory processing ➖Sleeping issues ➖Delayed development ➖Digestion issues ➖ADHD ➖Weak immune system . Are you wondering how adjustments help with these things? 🔻 In simple words, the spine is the most common place in the body that can interfere with the nervous system, disrupting the amazing power that made the body. Chiropractic care is a powerful way for parents to help their child heal naturally, the way the body was designed to. . What if your child has no health challenges? 🔻 Amazing!! Chiropractic is still a great way to keep the body functioning at the highest level to prevent problems from developing! . Give our office a call or shoot us a message if you have further questions or want to set up a consult. (701) 255-4241 . 📷: @leablackphotography
We love holding the littles and helping mom! 🥰
We love holding the littles and helping mom! 🥰