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Online Forms

Active Family Chiropractic, P.A. 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 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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Until Monday July 30th, 2018  the Initial Chiropractic Examination for $95, Which Includes:

*Click Here for details

• Consultation
• Orthopedic/Neurological Examination

Office Hours

Monday:

9:00 AM-12:00 pm

2:30 pm-6:00 pm

Tuesday:

By Appointment Only

Wednesday:

9:00 AM-12:00 PM

2:30 pm-6:00 pm

Thursday:

By Appointment Only

Friday:

9:00 AM-12:00 PM

Saturday:

Closed

Sunday:

Closed

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