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Family Chiropractic of Lederach, LLC offers these forms online to be completed at your convenience. Complete ONLINE or print and bring to the office with you for your first visit, along with your insurance card and photo ID.

  • 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

Options:

1) ONLINE for CHIROPRACTIC 

Click here to fill out digital form. 

Download the Free AdobeReader®

2) PRINT for CHIROPRACTIC

Download, print, complete and bring to the office.

3) PRINT for MASSAGE

24 hour cancellation notice requested for massage (charge may apply)

Download, print, complete and bring to the office.

4) PRINT for REFLEXOLOGY

24 hour cancellation notice requested for reflexology. (charge may apply)

Download, print, complete and bring to the office.

4) PRINT for ACUPUNCTURE

24 hour cancellation notice requested for acupuncture. (charge may apply)

Downloadprint, complete and bring to the office.

Exclusive Offer

Sign up now or call us at 1-215-256-8006

THIS ---->https://lederachchiro.chiromatrixbase.com/online-forms.html

Office Hours

Day
Monday9:007:00
Tuesday3:007:00
Wednesday9:007:00
Thursday9:007:00
Friday9:006:00
Saturday9:0011:00
SundayClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 3:00 9:00 9:00 9:00 9:00 Closed
7:00 7:00 7:00 7:00 6:00 11:00

Testimonial

"The doctors at Family Chiropractic care about your well being. They strike the right balance between recommending a course of treatment and allowing the patient to listen to their own body and personal needs...This is a practice that helps people feel better and have a higher quality of life".