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Online Forms

Butler Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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 



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Locations

Servicing the towns of St. Peters, Lake St. Louis, Cottleville, Dardenne Prairie, Weldon Spring, and St. Charles.

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "My son was a chronic bedwetter I tried everything, I took away drinks around bedtime, I even took him to the medical doctor. The doctor said there was nothing I could do. The very first adjustment my son had at the chiropractor changed all of that. It has been over two months and he has not had one accident. I am very thankful for chiropractors like Dr. Butler."
    Marcia B. - O'Fallon, MO