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 [email protected]. 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®

New Patients Accepted Sign up Today!

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

Office Hours

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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