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Chaffee 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

Adult

Minor



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Office Hours

Wooster Office

DayMorningAfternoon
Monday8 - 121:30 - 5:45
Tuesday8 - 121:30 - 4:45
Wednesday8 - 121:30 - 5:45
Thursday8 - 121:30 - 4:45
Friday8 - 121:30 - 5:45
Saturday8 - 12
SundayClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 - 12 8 - 12 8 - 12 8 - 12 8 - 12 8 - 12 Closed
1:30 - 5:45 1:30 - 4:45 1:30 - 5:45 1:30 - 4:45 1:30 - 5:45

Millersburg Office

Day Morning Afternoon
Monday 8 - 12 2 - 5:45
Tuesday 8 - 12 2 - 5:45
Wednesday 8 - 12 2 - 5:45
Thursday 8 - 12 2 - 4
Friday 8 - 12 2 - 5:45
Saturday Closed
Sunday Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 - 12 8 - 12 8 - 12 8 - 12 8 - 12 Closed Closed
2 - 5:45 2 - 5:45 2 - 5:45 2 - 4 2 - 5:45