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Practice Name

Minnesota Pain Relief & Wellness Institute

Primary Location
2151 Hamline Ave N, Suite 111
Roseville, MN 55113
Phone: 651.288.3098
Fax: 651.288.3781

Office Hours

Day
Monday11:00 - 7:00pm
Tuesday6:30 - 11:30 AM3:00 - 7:00 PM
Wednesday6:30 - NoonNoon - 3:00 PM
Thursday6:30 - 11:30 AM3:00 - 7:00 PM
Friday6:30 - 11:30 AM
Saturday8:00 - 11:00 AM
Sunday
Main Content

Minnesota Pain Relief & Wellness Institute 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


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 office. You can print it out and bring it in to our office 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®

We specialize in the ff:

  • Headaches
  • Car Accident Injuries
  • Carpal Tunnel
  • Neck Pain
  • Low Back Pain
  • Sciatica
  • Multiple Sclerosis
  • Numbness/Tinglinig in hands and feet
  • Sprain/Strain Injuries
  • Parkinson's
  • Shoulder Pain / Dysfunction
  • Worker's Compensation Injuries

Sign-up using the form or call us at 651.288.3098 to make your appointment

Name: *
Email: *
Phone: *

Testimonial

I feel amazing every time I leave the office! Such a great group of people and I love how they adjust. Chiropractic is such an important part of health, I couldn't recommend them more!

- Alisha D. / Roseville, MN

Office Hours

Day
Monday11:00 - 7:00pm
Tuesday6:30 - 11:30 AM3:00 - 7:00 PM
Wednesday6:30 - NoonNoon - 3:00 PM
Thursday6:30 - 11:30 AM3:00 - 7:00 PM
Friday6:30 - 11:30 AM
Saturday8:00 - 11:00 AM
Sunday

Review Us

Dr. Jason Wilson
is featured on Spine-health
Proud Member Since 2012
Trusted Information for
Back Pain and Neck Pain Relief
www.spine-health.com

651.288.3098

Contact

Minnesota Pain Relief & Wellness Institute
2151 Hamline Ave N, Suite 111
Roseville, MN 55113
Get Directions
  • Phone: 651.288.3098
  • Fax: 651.288.3781
  • Email Us
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