Online Forms

FREE VIDEO AND REPORT

Haynes Chiropractic offers our patient form(s) online so they can be completed it 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


Auto Accident Injury Form

Download & Print Form 


Download the Free AdobeReader®

Locations

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday:

Closed

2:00 pm - 6:00 pm

Wednesday:

9:00 am -12:00 pm

2:00 pm - 6:00 pm

Thursday:

Closed

2:00 pm - 6:00 pm

Friday:

9:00 am -12:00 pm

2:00 pm - 6:00 pm

Saturday:

By Appointment

By Appointment

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Very professional and caring staff took care of my husband. Thanking God for the service he got at Haynes Chiropractic. We greatly appreciate the service."
    Hector P.
  • "Caring and focused on the patient's health...I wouldn't go elsewhere - and haven't since 1991!!!"
    Abigail S.