Chiropractic and Holistic Wellness Center
HOURS
Monday & Friday 6 AM - Noon
Wednesday 10 AM - 1 PM
Tuesday & Thursday
10 AM - 1 PM and 3 PM - 6:30 PM
King of Prussia Medical Building
491 Allendale Road, Suite 203
King of Prussia, PA 19406
Phone: 610-265-2522
Fax: 610-265-3506
We have provided forms here on our website so that you may have the opportunity
to fill them out at your leisure before you arrive at our office for your appointment.
Which Forms should you fill out?
1. Select and print all forms from the General Forms sections that match the color for your situation.
2. Select and print all forms in the Injury Forms section that you feel apply to you.
General Forms
If you have had a Vehicle Accident, select and print all the BLUE forms.
If you have had a Work Related Injury, select and print all the RED forms.
If the above do not apply and you are a First Time Patient, select and print all the GREEN forms.
If you are a Returning Patient that we have not seen in the last year, select and print all the PURPLE forms.
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Patient History |
Health Analysis Form |
Information Update |
Massage Welcome |
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Informed Consent |
Consent |
Worker's Compensation |
Vehicle Accident |
Injury Forms
Select and print all forms below that you feel apply to you. If a single form fits, print just that form.
If you need more forms to communicate your situation, print out as many as you need.
Acute Lower Back (began recently) |
Chronic Lower Back (long standing) |
Neck Pain
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All Other Pain
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