New Patient Forms

Initial Exam and X-rays are $90

  • X-rays will be determined at doctor’s discretion up to 5 x-rays included with this offer.
  • Special offers for police, fire and active military

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!

Adults: Download & Print Form

Youth: Download & Print Form

Massage Application: Download & Print Form

Additional Forms

Auto Accident / Injury Form 

West Chester Chiropractic Center 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.

Download the Free AdobeReader®