Switch to Main Site
Practice Name

Dynamic Life Chiropractic

Social Media
Primary Location
4122 Keaton Crossing Blvd. Suite 105
O'Fallon, MO 63368
Phone: 636-887-3400

Office Hours

DayMorningAfternoon
Monday9:00am6:00pm
Tuesday9:00am5:00pm
Wednesday3:00pm6:00pm
Thursday9:00am5:00pm
Friday9:00am11:00am
SaturdayClosedClosed
SundayClosedClosed
Main Content

Dynamic Life 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


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®

For more information, send us an email or call us at 636-887-3400.

Name: *
Email: *
Phone: *

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonial

Dr. Kristin is a miracle worker. My life has changed dramatically since my first adjustment. I am off ALL medications and no more headaches. My entire family is healthier. - Amy R

Office Hours

DayMorningAfternoon
Monday9:00am6:00pm
Tuesday9:00am5:00pm
Wednesday3:00pm6:00pm
Thursday9:00am5:00pm
Friday9:00am11:00am
SaturdayClosedClosed
SundayClosedClosed

Meet The Doctor

Meet Dr. Kristin Gaines Porlier Dr. Kristin Gaines Porlier  focuses on discovering and correcting the primary causes of health challenges, drawing on her extensive training and professional experience to provide relevant clinical solutions and help her patients reach their maximum health potential. She serves many people in the community including pediatric patients, geriatric, and Olympic and professional athletes. Her passion is transforming the health of families through chiropractic care, nutrition, and fitness. She lectures frequently to churches, businesses, sports teams, and civic organizations.  Read More

Contact

4122 Keaton Crossing Blvd. Suite 105
O'Fallon, MO 63368
Get Directions

 
Newsletter

Newsletter Sign Up










Community Content