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NEW PATIENTS RECEIVE A COMPLIMENTARY CONSULTATION!

Please call 719-404-1489 to schedule an appointment!

Online Forms

Lancaster Chiropractic PLLC 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 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

For Children 2 years of age and under please fill out the Kid's History.

Download & Print Form

All patients must complete our HIPPA and Message Consent form.

Download & Print Form

All patients must sign an authorization form which gives permission to provide necessary treatment.

Download & Print Form



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