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387 Lake Road

Suite 3

Saint Albans, VT 05478

802-527-2225

Online Forms

Back to Health 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!

Download & Print Form



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Monday:

8:00 am - 12:00 pm

1:30 pm - 5:30 pm

Tuesday:

7:30 am - 12:00 pm

1:30 pm - 5:30 pm

Wednesday:

8:00 am - 12:00 pm

1:30 pm - 5:30 pm

Thursday:

7:30 am - 12:00 pm

1:30 pm - 4:00 pm

Friday:

8:00 am

1 pm

Saturday:

Closed *Emergencies seen.

Sunday:

Closed *Emergencies seen.