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Online Forms

Chiropractic Today offers patient form(s) online so they can be completed in the convenience of your own home or 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.

Chiropractic Intake Forms

Download & Print Form

Authorization and Assignment of Benefits

Download & Print Form

Acupuncture Intake Form *(for Acupuncture appointments only)*

Download & Print Form

Nutritional Consultation Forms


Download the Free Adobe Reader®

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CONTACT US TODAY

We look forward to hearing from you

Location

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Office Hours

Our Regular Schedule

Monday:

6:30 am-6:00 pm

Tuesday:

10:00 am-2:00 pm

Wednesday:

6:30 am-6:00 pm

Thursday:

Closed

Friday:

6:30 am-12:30 pm

Saturday:

Closed

Sunday:

Closed