Online Forms

Harmon Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.  Please click "SUBMIT" when finished to transmit your information directly to our office. 

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 follow the link below to complete your online NEW PATIENT FORMS that will be directly imported into our office and your health record:

https://www.mychirotouch.com/patientintake/?clientid=HFCP0007


    

Existing Patient Update Form

Download & Print Form

Download the Free AdobeReader®

Location

Office Hours

Our Regular Schedule

Monday

7:00am-1:00pm

2:00pm-5:00pm

Tuesday

10:00am-5:00pm

Wednesday

7:00am-1:00pm

2:00pm-5:00pm

Thursday

10:00am-5:00pm

Friday

7:00am-2:00pm

Saturday

closed

closed

Sunday

closed

closed

Monday
7:00am-1:00pm 2:00pm-5:00pm
Tuesday
10:00am-5:00pm
Wednesday
7:00am-1:00pm 2:00pm-5:00pm
Thursday
10:00am-5:00pm
Friday
7:00am-2:00pm
Saturday
closed closed
Sunday
closed closed