Appalachian Family Chiropractic 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.

Informed Consent

Medical History

Health History

HIPAA Notice of Privacy Practices

Pediatric Intake Form



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Office Hours

Monday

9:00 am - 12:00 pm

3:00 pm - 6:30 pm

Tuesday

9:30 am - 1:30 pm

Wednesday

Closed

Thursday

9:00 am - 12:00 pm

3:00 pm - 6:30 pm

Friday

9:00 am - 2:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:00 am - 12:00 pm 3:00 pm - 6:30 pm
Tuesday
9:30 am - 1:30 pm
Wednesday
Closed
Thursday
9:00 am - 12:00 pm 3:00 pm - 6:30 pm
Friday
9:00 am - 2:00 pm
Saturday
Closed
Sunday
Closed

Locations

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We look forward to hearing from you