- We strive to provide complete care for our patients. Learn more about all the services we provide.
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Heresco Chiropractic & Associates offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Welcome to Heresco Chiropractic. Please print and fill out if you are New Patient to our clinic. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Download & print this form for your New Patient Visit! /clients/2489/documents/Online New Patient Forms 06.2017.pdf
*Established Patient* History Update
Welcome back to Heresco Chiroparctic. Please print and fill out this form if has been more than 6 months since your last visit to the clinic.
Download & print this form for your appointment if it has been more than 6 months since your last visit! /clients/2489/documents/Online_Forms_Patient_History_Update_2017.pdf
Additional Informed Consent, HIPPA and Financial Policy Forms
These are forms are required to be signed prior to treatment with one of the doctors at Heresco Chiropractic
Download & print these forms for any New, Established, Motor Vehicle and Work Injury appointment.
Informed Consent: /clients/2489/documents/Online_Forms_Inforrmed_Consent.pdf
Financial Policy: /clients/2489/documents/Online_Forms_Financial_Policy.pdf
Motor Vehicle Accident Forms
If you have scheduled an appointment because you were in a car accident, please print and fill out this form.
Download and print this form if you have recently been in a Motor Vehicle Accident! /clients/2489/documents/Online Forms_Motor Vehicle Accident Paper Work 2017.pdf
Work Injury Forms
If you have scheduled an appointment because you were involved in a work injury, please print and fill out this form.
Download and print this form if you have recently been in a Work Injury! /clients/2489/documents/Online_Forms_Work_Injury_and_Lien_2017.pdf
Scoliosis Screening Forms
If you have scheduled an appointment because you are having a scoliosis screening, please print and fill out this form.
Download and print this form if you are having a Scoliosis Screening! /clients/2489/documents/Scoliosis_Screening_Contact_Information_and_Consent_2017.pdf
You can sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can Click Here to register online!We look forward to making your experience with our office and website more interactive and rewarding!
|Monday||8:00 am||6:30 pm|
|Tuesday||8:00 am||6:30 pm|
|Wednesday||8:00 am||6:30 pm|
|Thursday||8:00 am||6:30 pm|
|Friday||8:00 am||6:15 pm|
|Saturday||9:00 am||4:30 pm (After 4:30 - Physician On Call)|
|Sunday||Physician On Call|
|8:00 am||8:00 am||8:00 am||8:00 am||8:00 am||9:00 am||Physician On Call|
|6:30 pm||6:30 pm||6:30 pm||6:30 pm||6:15 pm||4:30 pm (After 4:30 - Physician On Call)|
Appointments are now being scheduled
for school sports physicals