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Online Forms

Chesapeake Chiropractic 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 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!

Please Submit Online Form



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Location

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Office Hours

Our Regular Schedule

Monday:

8:30 am - 12:00 pm

3:00 pm - 7:00 pm

Tuesday:

8:30 am - 12:00 pm

3:00 pm - 7:00 pm

Wednesday:

8:30 am - 12:00 pm

3:00 pm - 7:00 pm

Thursday:

8:30 am - 12:00 pm

3:00 pm - 7:00 pm

Friday:

8:30 am - 12:00 pm

3:00 pm - 7:00 pm

Saturday:

8:30 am-12:00 pm

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I have gone to chiropractors for about 15 years. I have had at least 5 steady chiropractors in those 15 years. I am proud to say that Karen and Lisa have been one of the best. Not only do they do good work, they are very caring and understanding. They sincerely care about their patients."
    Debbie B.
  • "My mother introduced me to this chiropractry because of my lower back pain. I have had this since I was 5, (I am 12 now) and not even surgeon's could tell why. I have also had childhood migranes and chronic ear infections. Since being treated and being given stretches, my migranes have decreased intensly. My posture has been helped immensely."
    Brendon D.
  • "Since receiving treatment over the past four months I have been able to move my neck left and right. I don't get dizzy when I tilt my head back. I've forgotten what pain I was in before I came here and a side effect is no more chronic earaches!"
    Dolores F.