Online Forms

Mary E. White D.C. Chiropractic Clinic offers our patient form(s) online so they can be completed 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 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 & Print Form



Download the Free AdobeReader®

New patients receive a free consultation!

Office Hours

Monday:

9:00 AM-12:00 pm

2:00 pm-6:00 pm

Tuesday:

2:00 pm

6:00 pm

Wednesday:

9:00 AM-1:00 pm

2:00 pm-6:00 pm

Thursday:

2:00 pm

6:00 pm

Friday:

9:00 AM-1:00 pm

2:00 pm-6:00 pm

Saturday:

By Appointment Only

Sunday:

Closed

Locations

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Testimonials

  • "This chiropractor is simply the BEST!!!"
    R.G.

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