Patient Forms

New Patient Health History Form - Required

Download & Print Form


Intake Form - Required

Download & Print Form Front 

Download & Print Form Back


Low back pain - Required

Download & Print Form


Pain drawing - Required

Download & Print Form


Neck pain - Required

Download & Print Form


Professional Image - Required

Download & Print Form


Financial Policies - Required

Download & Print Form


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Main Location

Address

1515 S Byrne Rd. Suite #106,
Toledo, OH 43614

Phone

419-389-1721

Monday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday  

By Appointment

Wednesday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday  

By Appointment

Friday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Saturday  

Closed

Sunday  

Closed