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



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Locations

Find us on the map

Office Hours

Our Regular Schedule

Centralia Office

Monday:

8:30 - 12:30 and 2:00 - 5:30

Tuesday:

8:30 - 12:30 and 2:00 - 5:30

Wednesday:

8:30 - 12:30 and 2:00 - 5:30

Thursday:

8:30 - 12:30 and 2:00 - 5:30

Friday:

8:30 - 12:30

Saturday:

Closed

Sunday:

Closed