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

Hours of Operation

New Patient Call for Appointment!

Monday

10:00 am - 1:00 pm

2:30 pm - 6:00 pm

Tuesday

By Appointment

Wednesday

10:00 am - 1:00 pm

2:30 pm - 6:00 pm

Thursday

10:00 am - 1:00 pm

2:30 pm - 6:00 pm

Friday

By Appointment

Saturday

Closed

Sunday

Closed

Monday
10:00 am - 1:00 pm 2:30 pm - 6:00 pm
Tuesday
By Appointment
Wednesday
10:00 am - 1:00 pm 2:30 pm - 6:00 pm
Thursday
10:00 am - 1:00 pm 2:30 pm - 6:00 pm
Friday
By Appointment
Saturday
Closed
Sunday
Closed