Online Forms

Thacker Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!

Fill-in & Print Form or Print Form Only


Electronic Health Records Intake Form - Required

Fill-in & Print Form or Print Form Only


Authorization to Treat and Promise of Payment - Required

Download & Print Form


HIPPA Form - Required

Download & Print Form


Back Index

Fill-in & Print Form or Print Form Only

Neck Index

Fill-in & Print Form or Print Form Only



Download the Free AdobeReader®

Click below to schedule your appointment!

Office Hours

Monday:

8:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 1:00 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 1:00 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 1:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "So glad I went! Felt so much relief today!"
    Alisha Ann / Facebook
  • "Dr. Steve is the very best!!! I always walk out feeling amazing."
    Jessica Lee / Facebook
  • "They are the best! A friendly staff that always tries their best to fit you in the schedule when you need them the most!"
    Julie Malcom / Facebook

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