Online Forms

Greene County 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!

Click Here to Submit Online New Patient Paperwork



Download the Free Adobe Reader®

Special Offer! New patients receive complementary consultation.

Sign-up using the form or call us at 812-875-2225 to take advantage of this exclusive offer.

Locations

Find us on the map

Business Hours

Monday:

9:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-4:00 pm

Wednesday:

9:00 am-12:00 pm

1:00 pm-6:00 pm

Thursday:

10:00 am-1:00 pm

2:00 pm-7:00 pm

Friday:

9:00 am - 12:00 pm by appointment only

Saturday:

*By appointment only

Sunday:

Closed