Online Forms

Cornerstone Family Chiro offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

Get Started Right Now!

1. Call our office at 942-1212 to schedule your appointment.

2. Print the following forms and fill them out before your appointment. You may also fill them out in our office, but filling them out beforehand will save you waiting time. Do not cancel your appointment just because you do not have these forms...they only take a few minutes to fill out.

Please click on the links below to view and print our new patient forms. If you are having trouble viewing these forms, you may need to install Adobe Reader. Click here to install Adobe Reader.

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

All Patients Fill Out These Forms:

Auto Accident Patients Fill Out the Above and This Form:

Massage Patients Fill Out the Above and This Form:


Download the Free Adobe Reader®

Office Hours

Our Regular Schedule

Richland Office

Monday

10:00 am - 6:00 pm

Tuesday

2:00 pm - 6:00 pm

Wednesday

10:00 am - 6:00 pm

Thursday

2:00 pm - 6:00 pm

Friday

10:00 am - 6:00 pm

Saturday

Closed

Sunday

Closed

Richland Office

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

Locations

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