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New Patient Paperwork

Northeastern Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 6:00pm


Tuesday
Closed


Wednesday
9:00am - 6:00pm


Thursday
9:00am - 6:00pm


Friday
9:00am - 5:00pm


Saturday
Closed

Northeastern Chiropractic
921 Drinker Turnpike #17A
Covington Township, PA 18444
(570) 848-7951

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