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Patient Forms

These are the necessary forms our patients require under certain conditions or causes for treatment. Completing the required forms for your situation would be very helpful and speed up the process of getting acquainted or reacquainted with Chiropractic care.

For initial visit, which is a new to our practice patient:

For new patient that is an automobile injury:

A patient with a work related injury:

A new patient who has United healthcare insurance:

For a Medicare patient:

OUR LOCATION

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Address
3000 Valley Forge Circle, Suite G-12
King of Prussia, PA 19406

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We Look Forward To Hearing From You.

Please do not submit any Protected Health Information (PHI).

HOURS OF OPERATION

Monday
09:00 am - 02:00 pm
Tuesday
02:00 pm - 06:00 pm
Wednesday
09:00 am - 06:00 pm
Thursday
Closed
09:00 am - 01:00 pm
Friday
Saturday
09:00 am - 01:00 pm
Sunday
Closed

HOURS OF OPERATION

Saturday

10:00 am - 01:00 pm

Sunday

Closed

Thursday

Closed

Friday

09:00 am - 01:00 pm

Wednesday

09:00 am - 06:00 pm

Monday

09:00 am - 02:00 pm

Tuesday

02:00 pm - 06:00 pm