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330-478-2255 H
H

330-478-2255

Online Forms

Vargo Chiropractic and Rehabilitation offers our patient forms online so they can be completed in the convenience of your own home or office.

DOWNLOADING INSTRUCTIONS

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Click the "Chiropractic and Physical Therapy Forms" link below.
  • Save the forms to your computer before filling them out.
  • Open the form you saved on your computer and fill in all fields.
  • Print the completed forms and bring them in with you to your appointment or use the save as feature to save the completed form and email them to feelinggood@vargochiropractic.com. This will save you time on your first visit.

New Patient Intake Forms For Chiropractic and Physical Therapy

This lets us know the history and current state of your health.

Chiropractic and Physical Therapy Forms




Download the Free AdobeReader®

Contact Us!

New Patients Accepted  Sign up Today!

Sign-up using the form below or call 330-478-2255 to speak with us.

Office hours

Day
Monday8:00am - 12:00pm2:00pm - 6:00pm
Tuesday8:00am - 12:00pm2:00pm - 6:00pm
Wednesday8:00am - 12:00pm2:00pm - 6:00pm
Thursday8:00am - 12:00pm2:00pm - 6:00pm
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am - 12:00pm 8:00am - 12:00pm 8:00am - 12:00pm 8:00am - 12:00pm Closed Closed Closed
2:00pm - 6:00pm 2:00pm - 6:00pm 2:00pm - 6:00pm 2:00pm - 6:00pm Closed Closed Closed