PA Chiropractic and Rehab Center LLC 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.
  • Fax us your printed and completed form(s) or bring it 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



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Locations

Office Hours

Hours Subject to Change

Regular Office Hours

Monday

10:00 am - 1:00 pm

2:00 pm - 6:00 pm

Tuesday

2:00 pm - 6:00 pm

Wednesday

10:00 am - 1:00 pm

2:00 pm - 6:00 pm

Thursday

2:00 pm - 6:00 pm

Friday

10:00 am - 1:00 pm

2:00 pm - 6:00 pm

Saturday

By Appointment

Sunday

Closed

Regular Office Hours

Monday
10:00 am - 1:00 pm 2:00 pm - 6:00 pm
Tuesday
2:00 pm - 6:00 pm
Wednesday
10:00 am - 1:00 pm 2:00 pm - 6:00 pm
Thursday
2:00 pm - 6:00 pm
Friday
10:00 am - 1:00 pm 2:00 pm - 6:00 pm
Saturday
By Appointment
Sunday
Closed