Online Forms

Centralia 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),
  • Fill in the required information online, print and bring the completed forms to your visit
  • OR print the forms, fill them in with pen and bring the completed forms to your visit.

New Patient Health History 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 Form


Patient Information Form

Download Form



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Contact us by phone.

Office Hours

Our Regular Schedule

Centralia Office

Monday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

By Appointment

Tuesday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

By Appointment

Wednesday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

By Appointment

Thursday:

10:00 am-12:00 pm

2:00 pm-5:00 pm

By Appointment

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "As a professional athlete I need to be healthy and have full range of motion at all times. Whenever I have some discomfort in my hips or back I rely on them to adjust me so I can get back to performing at 100%."
    A Pullin, Professional Baseball Player

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