New Patient Forms

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At Allegany Chiropractic we value your time and your privacy.  That's why we've provided copies of our new patient information forms on our website.  These forms are for you to download, print, and complete at home. You may bring them into our office during your next visit.  They will not be stored or sent online, but are offered here simply for your convenience.  Allegany Chiropractic Center follows Federal HIPAA requirements for maintaining patient privacy and healthcare portability.  The HIPAA policy may be viewed here.

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Confidential New Patient Form

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Auto Accident Questionnaire

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HIPAA Privacy Policy

Allegany Chiropractic Center
222 E. Oak Ridge Drive, Suite 1800
Hagerstown, MD  21740

301-739-0090 Voice
301-739-0288 Fax
info@alleganychiropractic.com

 


Call us today at 301-739-0090 to arrange a consultation visit and start on the road to wellness and comfort.

 

Copyright © 2003 Allegany Chiropractic Center  |  222 E. Oak Ridge Drive, Suite 1800  |  Hagerstown, MD  21740  |  301-739-0090