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New Patient Form (Required)

Chiropractic & Physical Therapy Center 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.

Please be sure to fill out the New Patient Health History Form AND all forms associated with the type of pain you are having to ensure a faster check-in process.


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! Please make sure to fill out the forms below for ALL areas of discomfort that we will be seeing you for. These forms are required to ensure that you are receiving a customized treatment plan to suit your needs.

Submit Form Online

Or

Download & Print Form

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Office Hours

Temporary COVID-19 Hours

Temporary COVID-19 Hours

Monday:

8:00 am-12:00 pm

2:00 pm-4:30 pm

Tuesday:

Closed

Wednesday:

8:00 am-12:00 pm

2:00 pm-4:30 pm

Thursday:

Closed

Friday:

8:00 am-12:00 pm

2:00 pm-4:00 pm

Saturday:

8:00 am to 11:00 am Alternating starting May 30th

Sunday:

Closed