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Justino Chiropractic and Wellness Center offers our patient form(s) online so you can complete it in the convenience of your own home or 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.


New Patient Health History Form - Required

This let's 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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Learn More! Sign up now for a consultation!

THIS ---->https://justinochiropractic.com/new-patient-center/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:30 - 12:002:00 - 6:00
TuesdayClosed2:00 - 6:00
Wednesday8:30 - 12:002:00 - 6:00
Thursday8:30-12:002:00-6:00
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 - 12:00 Closed 8:30 - 12:00 8:30-12:00 Closed Closed Closed
2:00 - 6:00 2:00 - 6:00 2:00 - 6:00 2:00-6:00 Closed Closed Closed

Testimonial

Just after my initial visit with Dr. Justino I could feel relief. I feel like I have a new and improved neck and the pain across my back and tightness in my hip has eased. I am happy to say that I feel so much better.

- Bill, age 66


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