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Online Forms

Wellness for You NOW Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.

Initial Paperwork

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!

First Office Appointment Questionnaire 
Pregnancy First Office Appointment Questionnaire 


Pediatric Paperwork

Please print and fill in this form to the best of your ability and bring with you and your child on the initial visit. Please fill in one form for each child.

INFANT 0-11 months First Office Appointment Questionnaire
TODDLER 12 to 24 months First Office Appointment Questionnaire
PRE-SCHOOL 3 to 5 years First Office Appointment Questionnaire
CHILDHOOD 6-12 years First Office Appointment Questionnaire
ADOLESCENT 13-17 years First Office Appointment Questionnaire



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Wellness for You NOW Chiropractic

Office Hours

Brighton & Penfield Office

Monday:

Brighton

10:00 am - 6:30 pm

Tuesday:

Penfield

10:00 am - 6:30 pm

Wednesday:

Brighton

10:00 am - 6:30 pm

Thursday:

Penfield

10:00 am - 6:30 pm

Friday:

Brighton 10:00 am - 12:00 pm

Penfield 12:30 pm - 2:30 pm

Saturday:

Closed

Sunday:

Closed