If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

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)

Download 1 and Download 2print, complete and bring to the office.

Exclusive Offer

Need to contact us? Enter the information below or call us at 215-256-8006

THIS ---->https://www.lederachchiro.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. This is a practice that helps people feel better and have a higher quality of life".