- We strive to provide complete care for our patients. Learn more about all the services we provide.
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Skocik Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Phone: (717) 540-8448
New Patient Form - Required
Download & Print Form or Click Here for Electronic Version
Disclosure of Health Information / HIPPA - Overview of full HIPPA compliant policy
Auto Accident Questionnaire - Only fill out if experiencing auto accident injury
Work-Related Injury Questionnaire - Only fill out if experiencing work related injury
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Find out now whether careful, professional, chiropractic care can relieve your aches and pains. We offer you a complimentary preliminary spinal examination and a report of our findings. The preliminary examination consists of a neurological test, a spinal alignment check, a muscle test, a blood pressure test as well as a private discussion with the doctor to discuss your results.
This examination is entirely FREE!
** Due to Federal Regulations,
This offer does not apply to