Online Forms

Allegheny Family Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.  This will save you time when you come in for your first visit.

  • 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.
  • Bring in your completed forms with you to your appointment.
  • Bring in your ID and your insurance card if you plan on using your insurance.

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


CONTACT US TODAY

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Office Hours

Our Regular Schedule

Monday:

9:00 - 1:00

3:00 - 7:00

Tuesday:

8:00 - 1:00

3:00 - 7:00

Wednesday:

9:00 - 1:00

3:00 - 7:00

Thursday:

Closed

3:00 - 7:00

Friday:

9:00 - 1:00

3:00 - 7:00

Saturday:

8:00 - 11:00

Closed

Sunday:

Closed

Closed

Location

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Testimonial

  • "Walked in to Allegheny Family Chiropractic Wellness Center set on getting surgery to fix my bulging disc. 2 months later I am pain free and feeling better than ever. Very thankful I decided to give Dr. Kent a visit."
    Will K. / Philadelphia, PA

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