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Precision Chiropractic Health 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.

  • 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.

New Patient Forms - 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!

Patient Introduction Form

Download & Print Form


Informed Consent Form

Download & Print Form


Privacy Notice

Download & Print Privacy Notice


Financial Agreement

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form
 


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Exclusive Offer

Sign up now for a free consultation!

THIS ---->https://precisionchirohealthcom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8am - 1pm4pm - 7pm
Tuesday7am - 1pm3pm - 7pm
Wednesday8am - 1pm4pm - 7pm
Thursday7am - 1pm3pm - 7pm
Friday8am - 12pmClosed
Saturday7am - 12pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am - 1pm 7am - 1pm 8am - 1pm 7am - 1pm 8am - 12pm 7am - 12pm Closed
4pm - 7pm 3pm - 7pm 4pm - 7pm 3pm - 7pm Closed Closed Closed

Testimonial

Dr. Jenn and Dr. Ross are amazing.  My husband and 4 kids and I love our weekly adjustments in order to keep our spines healthy and body functioning 100%...Highly recommend them for your chiropractic needs and your overall health..

T. Mercado
Huntington Station, NY

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