Online Forms


Cynergy Chiropractic Center 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 clinic.

  • 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 or email   [email protected]    your printed and completed form(s) or bring it with you to your appointment.

Chiropractic Health History Forms

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!

New Patient Chiropractic Intake Forms.pdf


Acupuncture Health History Forms

Acupuncture Intake Forms.pdf



Involved in a Car Accident?

Motor Vehicle Accident Intake Forms.pdf



Receiving a Massage?

Massage Therapy Intake.pdf


Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Monday

9:00 am - 7:00 pm

Tuesday

Closed

Wednesday

9:00 am - 7:00 pm

Thursday

8:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

Closed

Sunday

Closed

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Monday
9:00 am - 7:00 pm
Tuesday
Closed
Wednesday
9:00 am - 7:00 pm
Thursday
8:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
Closed
Sunday
Closed
Read More
chiropractic spine

WHERE IS YOUR PAIN?

Learn how we can help with your pain