Online Forms

Meylor Chiropractic & Acupuncture 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 AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.

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!


We have two different methods to submit this form:

1.) Fill, Download, and Print the form. Bring the filled out form to your visit.

or

2.) Fill, Download, and Upload your filled out form to the Submission Form below to send it directly to us before your visit.


Fill & Download Form



Download the Free Adobe Reader®

Submission Form

Due to COVID-19 we will be scheduling by appointment only.

Office Hours

Monday

8:00 am - 12:30 pm

2:00 pm - 6:00 pm

Tuesday

8:00 am - 12:30 pm

2:00 pm - 5:00 pm

Wednesday

8:00 am - 12:30 pm

2:00 pm - 5:00 pm

Thursday

8:00 am - 12:30 pm

2:00 pm - 6:00 pm

Friday

8:00 am - 12:30 pm

2:00 pm - 5:00 pm

Saturday

Closed

Sunday

Closed

Office Hours

Monday
8:00 am - 12:30 pm 2:00 pm - 6:00 pm
Tuesday
8:00 am - 12:30 pm 2:00 pm - 5:00 pm
Wednesday
8:00 am - 12:30 pm 2:00 pm - 5:00 pm
Thursday
8:00 am - 12:30 pm 2:00 pm - 6:00 pm
Friday
8:00 am - 12:30 pm 2:00 pm - 5:00 pm
Saturday
Closed
Sunday
Closed