Online Forms

Gadoury 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.

Patient Information Form

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


Notice of Privacy Practices Acknowledgement

Download & Print Form


Health Care Authorization Form

Download & Print Form


Patient Responsibility Form

Download & Print Form



Download the Free AdobeReader®

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Location

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Office Hours

Our Regular Schedule

Monday:

8:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Tuesday:

8:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Wednesday:

8:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Thursday:

8:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Friday:

8:00 AM - 12:00 PM

2:00 PM - 6:00 PM

Saturday:

Appointment OR Emergency Only

Sunday:

Appointment OR Emergency Only