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Lackawanna Chiropractic offers our patient form(s) online so they can be completed 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 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



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Sign-up using the form or call us at 716-823-1900 to take advantage of this exclusive offer.

THIS ---->https://lackawannachiropractic.com/online-forms.html

Office Hours

DayOpenClosed
Monday8:306:00
Tuesday8:306:00
Wednesday8:306:00
Thursday8:304:00
Friday8:306:00
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 8:30 8:30 8:30 8:30 Closed Closed
6:00 6:00 6:00 4:00 6:00 Closed Closed

Testimonial

I can't say how wonderful this place is!!!the staff is so wounderful.i can say that I got the most out of my visit and I felt such great relief just after my first visit.im a heave athletic person and he was able to help me more then any doctor has before.i don't know what I would do if I had not found this place.you can pretty much even get in the same day which I think is woynderful. His secretary's warm hearted welcome just makes you feel good if your in pain or were having a bad day. The doctor himself is very helpful,kind,funny and willing to accommodate all of his patients needs.over all this place is a must for all to check out you won't be disappointed ! !!!!!!

Marcia L.
Lackawanna, NY

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