Panchur Chiropractic Wellness Centre offers our patient form(s) online so they can be completed it in the convenience of your own home or 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 Chiropractic Patient Health History Form - Required  
(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!)

Download & Print Form

Terms of Acceptance - Required
Download & Print Form-- Unavailable at this time

Can be completed in-office, or call the office for a copy to be 

sent prior to your visit.  

 

Financial Policies - Required
Download & Print Form- Unavailable at this time

Can be completed in-office, or call the office at 330-335-6070  for a copy to be 

sent prior to your visit. 



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Office Hours

Our Regular Schedule

Monday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday

9:00 am - 1:00 pm

Wednesday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday

Out of office

Friday

8:30 am - 12:00 pm

2:00 pm - 5:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Tuesday
9:00 am - 1:00 pm
Wednesday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Thursday
Out of office
Friday
8:30 am - 12:00 pm 2:00 pm - 5:00 pm
Saturday
Closed
Sunday
Closed

We have a NEW LOCATION!

FIND US on the Sharon Circle!

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