Contact Revival Chiropractic

We’d Love to Hear from You! Call (651) 342-2453

Connect With Us!

If you are ready to start your health & healing journey, you can request your new patient consultation through the form below, or by calling the office!

  Please wait, sending message      

Patient Type

New Patient

Current Patient

Returning Patient

First Name

Last Name

Email Address

Phone Number

Respond to me via:

Email

Phone

Preferred Day/Time:

Date

Hour H123456789101112

Hour M00153045

AM or PM

AM

PM

Comments or Questions

I agree to refrain from including any personally identifiable information or protected health information in the comment field. For more info, read disclaimer.

Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties or unauthorized individuals. Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us. Communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.

I consent to having this website store my submitted information so they can respond to my inquiry. For more info, read our privacy policy.

Leave this empty:

  Please wait, sending message      

Send Message

How to Find Us & Where to Park

Revival Chiropractic is located in Stillwater at the intersection of Myrtle Street West and Second Street South. You’ll see that our building says “Gazette” at the top. Our practice is on the second floor of the building. Once you reach the top of the stairs, you can’t miss us! We have a free parking lot with ample spaces located next to our building between Domacin and Lift Dental. There is free street parking available as well.