Online Forms

Long Chiropractic Rehab Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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.

Medical History Form

Download & Print Form

Consent to Treatment

Download & Print

Motor Vehicle Accident Information

Download & Print Form

Current Complaints

Download & Print Forms


Download the Free Adobe Reader®

Office Hours

Our Regular Schedule

Long Chiropractic

Monday:

8:30 am-1:30 pm

2:30 pm-6:30 pm

Tuesday:

8:30 am-1:30 pm

2:30 pm-5:00 pm

Wednesday:

8:30 am-1:30 pm

2:30 pm-6:30 pm

Thursday:

2:30 pm-7:00 pm

Friday:

8:30 am-1:30 pm

2:30 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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