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Online Forms

Empire Chiropractic PC 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.


New Patient Health History Form - Required

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!

Download & Print Form



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Office Hours

Our Regular Schedule

Wanamaker Ln Location

Monday:

Closed

Tuesday:

7:00 am-12:00 pm

Wednesday:

Closed

Thursday:

7:00 am-12:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

7:00 am-12:00 pm

39th St Location

Monday:

7:30 am-6:00 pm

Tuesday:

Closed

Wednesday:

7:30 am-6:00 pm

Thursday:

Closed

Friday:

7:30 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

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