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Online Forms

Kennedy Chiropractic & Acupuncture offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

Click Here to go to the Online Form for e-submission

Or you can print out a form at home. Instructions below.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download. Download the Free AdobeReader®
  • 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 You Can Print out at Home:

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! Print this, fill it out, and bring with you to your first visit.

Download and Print

Complex Case NP Form


Auto Accident Comprehensive Form

Download & Print Form


Download the Free AdobeReader®

726-C Pearl St. / 4578 Tally Ho Trail.

2 Locations to Serve You

Office Hours

Weekly Hours ( Mon,Thur at Pearl St. Tue,Wed,Fri at Tally Ho)

Monday:

10:00 am-4:00 pm

Tuesday:

2:00 am-5:00 pm

Wednesday:

10:00 am-2:00 pm

Thursday:

10:00 pm-4:00 pm

Friday:

10:00 am-3:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Excellent care. They went above and beyond. :) Love the full-service aspect and how they treat customers like family."
    Hailey N.