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Online Forms

Welllness Chiropractic Center, PC offers our 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.
  • Please bring the completed form(s) with you to your appointment.

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!

Download & Print Form


Consent To Treat A Minor

Download & Print Form


Medicare ABN Agreement

Download & Print Form


Massage Intake Form

Download & Print Form


Download the Free Adobe Reader®

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Locations

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

1:00 pm-6:30 pm

Tuesday:

1:00 pm-6:30 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-6:30 pm

Thursday:

1:00 pm-6:30 pm

Friday:

8:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed