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Online Forms

Lifetime Chiropractic P.C. 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 Adult Patient Form

New Child Patient Form

Automobile Form/PI Accident

Application for Care

Informed Consent

Symptom Medications

Pediatric History

Doctor's Lien

New Patients Receive a Free Consultation.

Office Hours

Our Regular Schedule

Monday:

8:30am-11:30am

2:30pm - 6pm

Tuesday:

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3pm - 6pm

Wednesday:

8:30am-11:30am

2:30pm - 6pm

Thursday:

8:30am-11:30am

2:30pm- 6pm

Friday:

By Appt

Saturday:

By Appt.

Sunday:

Closed

Locations

Find us on the map