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.  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®


Auto-Accident Health History Form - Required 

(If you have been in an auto-accident and have been treated within 14 days of the auto-accident and have an open medical claim) 

Please fill out the paperwork and bring with you your auto-insurance card and photo ID as well as your regular health insurance information. 

Auto-Accident Paperwork (Download & Print) 

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.  Please bring with you your updated insurance card and photo ID. 

Existing Patient Health History Form (Download & Print)

Office Hours

Our Regular Schedule

Monday:

8:30 AM - 1:00 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

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