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Online Forms

Lykens Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReaderĀ® 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!

Download & Print Form



Assignment of Benefits

Download & Print Form



HIPAA Notice of Privacy Practices

Download & Print Form



Authorization for Release of Information

Download & Print Form

Our Location

Office Hours

Primary Location

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 AM-6:00 pm

Wednesday:

9:00 AM-7:00 pm

Thursday:

9:00 AM-7:00 pm

Friday:

9:00 AM-2:00 pm

Saturday:

Massage Therapy

Sunday:

Closed