Patient Forms

New Chiropractic Patient Intake Form: this link will take you to a form that you can fill out and submit directly online.

The following links will take you to a form which must be printed out. Please fill them out and bring them with you to your appointment.

Financial Policy Summary

Notice of Privacy Practices

HIPAA

Informed Consent for Chiropractic Care 

Informed Consent for Massage Therapy

Myofascial Therapy Intake Form


Contact Us Today!

We look forward to hearing from you.

Our Location

6149 Saltsburg Rd | Verona, PA 15147

Office Hours

Our General Schedule

Chiropractic Hours

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Massage Hours

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-6:00 pm

Friday:

Closed

Saturday:

by appointment only

Sunday:

Closed