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New Patient Forms

We offer our paperwork online so you can complete it in the convenience of your own home.


Patient Intake Form

This lets us know what’s happened, but perhaps more important, where do you want to take your health?


Wellness/Nutrition Patient form


Informed Consent for Chiropractic Care


Release of Records

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.


Chiropractic Form


Acupuncture Questionnaire


Our Office Policy


Our HIPPA Policy


Shape Reclaimed Forms


Free AdobeReader®

Get adobe readerEach form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.


Have questions?  Call our Simsbury Chiropractic office! (860) 651-3355

Contact Us

Send Us An Email Today!

Our Location

540 Hopmeadow St | Simsbury, CT 06070

Office Hours

Our Regular Schedule

Monday:

9:00 am-6:00 pm

Tuesday:

1:00 pm-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-1:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed