137 Montgomery Avenue Suite #103 Boyertown, PA 19512

(610) 367-7850
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Online Forms

The most convenient way to complete your initial paperwork is by submitting it online! Save time your first visit clicking the link below to be directed to our online intake form.


***New Patient Intake Form***



Parks Chiropractic PC also allows our forms to be downloaded online so they can be completed in the convenience of your own home or office. Feel free to download and print the forms below.

  • 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.

Patient Intake Form

***Download & Print Form***


 HIPAA Compliance Form

***Download & Print Form***


Download the Free AdobeReader®

Locations

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Office Hours

Monday:

8:00 am-11:30 am

2:30 pm-6:30 pm

Tuesday:

8:00 am-11:30 am

2:30 pm-6:30 pm

Wednesday:

8:00 am-11:30 am

2:30 pm-6:30 pm

Thursday:

8:00 am-11:30 am

2:30 pm-6:30 pm

Friday:

9:00 am-11:00 am

Saturday:

Closed

Sunday:

Closed