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Online Forms

Duncan Chiropractic Health Center, LLC offers our patient form(s) online so they can be completed it 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.

New Patient Paperwork

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!

This form MUST be filled out online before initial visit.

Please print the following forms, fill out, and bring to your initial visit if applicable.

Health History Questionnaire

Revised Oswestry

Consent of Treatment

Notice of Financial Responsibility


Motor Vehicle Accident Patients

Auto Accident Questionnaire


Medicare Patients

Advance Beneficiary Notice

Activities of Daily Living


Medicaid Patients

Medicaid Coverage Form


Release of Records

Authorization for Release of Patient Health Records



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Location

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Office Hours

Holidays May Affect These Hours

Chiropractic Office Hours

Monday:

9:00am - 1:00pm

3:00pm - 6:00pm

Tuesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 6:00pm

Thursday:

Closed

3:00pm - 6:00pm

Friday:

9:00am - 1:00pm

Closed

Saturday:

Closed

Sunday:

Closed

Massage Office Hours

Monday:

8:00 am-2:00 pm

Tuesday:

Closed

Wednesday:

8:00 am-1:00 pm

2:00 pm-7:00 pm

Thursday:

Closed

Friday:

8:00 am-5:00 pm

Saturday:

10:00 am-3:00 pm

Sunday:

Closed