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Intake Forms

Long Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office.

  • Download the forms below and fill in the required information.
  • Please bring forms with you to your appointment.

Patient Intake Form (Adult)

Download & Print Form


Patient Intake Form (Child) 

Download & Print Form


Patient/Doctor Agreement

Download & Print Form


Text/Email Reminder Form

Download and Print Form


Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am

6:30 pm

Tuesday:

8:00 am - 11:00 am

4:00 pm - 6:30 pm

Wednesday:

8:30 am

6:30 pm

Thursday:

3:00 pm

6:00 pm

Friday:

8:30 am

6:30 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "How can I tell people the difference. I have been to acupuncturists, massage therapists, shamans, medical doctors and chiropractors. Nothing is like what Long Chiropractic has done for me. The freedom from pain, freedom from muscle spasms, the freedom to sleep all night. Yes, my highest recommendation."
    Scott M.
  • "Wonderful!!! So understanding. So sweet. I have never believed in chiropractors. I had never seen one. My sister referred me to this clinic. Amazing, love them. A+++"
    Jennifer W.