Accessibility View Close toolbar

5431 Jonestown Rd

Harrisburg, PA 17112 US

(717) 540-8448

Open mobile navigation

Online Forms

Skocik 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.

Phone: (717) 540-8448
Fax: 717-540-6233


New Patient Form - Required

Download & Print Form or Click Here for Electronic Version


Disclosure of Health Information / HIPPA - Overview of full HIPPA compliant policy

Download & Print Form


Auto Accident Questionnaire - Only fill out if experiencing auto accident injury

Download & Print Form


Work-Related Injury Questionnaire - Only fill out if experiencing work related injury

Download & Print Form



Download the Free AdobeReader®

This examination is entirely FREE!

** Due to Federal Regulations, This offer does not apply to Medicare/Medicaid. **

Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Skocik Chiropractic was very personable and informative. Dr. Skocik and his staff purposefully takes care of their patients with attentiveness and professionalism. I enjoyed my time there and highly recommend Skocik Chiropractic."
    B, Wanda

Featured Articles

Read about interesting topics

  • Chiropractic and Breech Babies During Pregnancy

    If you are experiencing back pain during your pregnancy or have a breech pregnancy, chiropractic can help. ...

    Read More
  • Natural Remedies for Sciatic Pain

    Do you experience sciatica pain? Both chiropractic care and at-home remedies can help alleviate that pain in a natural way. ...

    Read More
  • Chiropractic Care For Pets

    You know how chiropractic can help you, but what about your pets? ...

    Read More
  • Should I Use Heat or Ice for Pain?

    When you're feeling pain, sometimes it's difficult to determine if heat or ice will treat that pain best. This article will help you learn which is best for different types of injuries and pain. ...

    Read More
  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More

NEWSLETTER SIGNUP

Sign up for more articles