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Patient Forms

New Patient Intake Information

Sheitelman Medical & Chiropractic Center offers our patients the capability to download the New Patient Intake Forms here online so you can complete the questions in the convenience of your own home or office.

Please download the necessary form(s), print and fill in the required information then bring the completed forms with you to your appointment.

New Patient Intake Form – Click Here

Personal Injury Form – Click Here


In order to access these forms you must have the basic Adobe pdf reader installed on your computer. If you do not already have Adobe Reader® installed on your computer, Click Here to download.

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Hours Of Operation

Monday:

10:00 AM-7:00 PM

Tuesday:

Closed

Wednesday:

10:00 AM-7:00 PM

Thursday:

Closed

Friday:

10:00 AM-7:00 PM

Saturday:

Closed

Sunday:

Closed

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