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Online Forms

Arnold Chiropractic Life Center 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.

Terms of Acceptance - Required

This form is simply to read and sign. It is designed to explain, in advance, what the doctors goals and objectives are, and the methods used to help in attaining them. It defines what chiropractors do, as well as what they do not do.
 

Download & Print Form



New Patient Health History - 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


General Pain Index Questionnaire - Required

This form allows us to better understand how your present health condition effects your day to day life.

Download & Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

Hiram Office

Monday:

8:00 am-1:00 pm

3:00 pm-6:30 pm

Tuesday:

8:00 am-1:00 pm

Closed

Wednesday:

8:00 am-1:00 pm

3:00 pm-6:30 pm

Thursday:

Closed

Friday:

8:00 am-1:00 pm

3:00 pm-6:30 pm

Saturday:

8:00 am-11:00 am

*By Appointment

Sunday:

Closed

Location

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