New Patient Paperwork
Long Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- All forms are PDF files. You will need AdobeReader® to view them.
- If you do not already have AdobeReader® installed on your computer,
Click Here to download. - Download the necessary form(s), print them out and fill in the required information.
- Fax us your printed and completed form(s) or bring them with you to your appointment.
- ALL new patients must fill out the New Patient Paperwork.
- Additional forms are required if one of the following pertain to you.
OFFICE HOURS
Monday
8:00am - 12:00pm
2:00pm - 5:00pm
Tuesday
8:00am - 12:00pm
Wednesday
8:00am - 12:00pm
2:00pm - 5:00pm
Thursday
8:00am - 12:00pm
Friday
Closed
Saturday
Closed
Long Chiropractic
15 N 200 W Suite A
Hurricane, UT 84737
Phone: (435) 635-3828