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Patient 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 AdobeReaderĀ® 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!


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.


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We look forward to hearing from you.

Our Locations

421 Penbrooke Drive, Suite 7 Penfield, NY, 14526

Subluxation

Adjusting Hours

Monday:

9:30 am-2:00 pm

4:30 pm-6:30 pm

Tuesday:

9:30 am-3:00 pm

Wednesday:

9:30 am-2:00 pm

4:30 pm-6:30 pm

Thursday:

9:30 am-3:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed