Online Forms

Jeffersontown Chiropractic 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!

Coming Soon!



Download the Free Adobe Reader®

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Contact Us

Location & Hours

Our Location

Office Hours

Jeffersontown Chiropractic

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

9:00 AM-12:00 pm

2:00 PM-6:00 pm

Thursday:

9:00 AM-12:00 pm

2:00 PM-6:00 pm

Friday:

9:00 AM-1:00 pm

Saturday:

Closed

Sunday:

Closed