Southwestern Chiropratic Center Welcomes You
Welcome to the Southwestern Chiropractic Center Learn More About Your Chiropractor Learn More About Chiropractic Care Visiting Our Office How to Contact Our Office Frequently Asked Questions of Our Patients Schedule an Appointment Online

Health History and Patient Entrance Form

In order to allow us to prepare for your first visit, you can download and fill out your Health History form directly from our website in advance. This will provide us with the necessary information to better serve your health care needs and also expediate the time spent in our office to filling out the form.

We have made the Health History form available to you in both Adobe PDF and Microsoft Word formats. Simply follow the instructions below to begin filling out your Health History form.



How to Download This Form


1. Choose the format you would like to download, by clicking on the corresponding link below
2. The document you requested will then be shown in a new Internet browser window
3. From the menu, choose File > Save As
4. We recommend saving the form to your computer's desktop. Click Save
5. Open the saved document and print as you would normally


Select Your Desired Format


Click Here to Download in Microsoft Word format
Click Here to Download in Adobe PDF format*


*Adobe Acrobat Reader is required to view Adobe PDF files and can be downloaded for free by clicking here


Questions/Technical Assistance


If you are still having trouble downloading the form, please contact our office at (412) 233-3600 and one of our office assistants will be more than happy to help you.


Southwestern Chiropractic Center
801 North State Street
Clairton, PA 15025

(412) 233-3600

DAILY OFFICE HOURS PRINT PATIENT ENTRANCE FORM SCHEDULE AN APPOINTMENT REFER US TO A FRIEND

GioiaDesign.net