Online Forms

Tenpenny Chiropractic Associates 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.
  • Bring it with you to your appointment.


New Patient Health History Form - Required

Please fill out the paperwork below and bring them with you to your initial visit! Please let us know all information possible so we can ensure you get the proper care.  If you are unable to complete our forms at home please arrive to your appointment 20 minutes ahead of time. We look forward to meeting you! Please bring with you your updated insurance card and photo ID. 

New Patient Health History Form (Download & Print Form)

Download & Print FormDownload the Free AdobeReader®


Existing Patient Health History Form - Required 

(If you have been to our office in the past but it has been over 6 months since we have seen you)

Please fill out the paperwork below and bring them with you to your appointment! Please let us know all updated information possible so we can ensure you get the proper care.  If you are unable to complete our forms at home please arrive to your appointment 20 minutes ahead of time. Please bring with you your updated insurance card and photo ID. 

Existing Patient Health History Form (Download & Print)

Office Hours

Our Regular Schedule

Monday:

7:30 AM - 12:00 PM

2:00 PM - 6:00 PM

Tuesday:

7:30 AM - 12:00 PM

Closed

Wednesday:

7:30 AM - 12:00 PM

2:00 PM - 6:00 PM

Thursday:

7:30 AM - 12:00 PM

2:00 PM - 6:00 PM

Friday:

7:30 AM - 12:00 PM

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Locations

Find us on the map