Online Forms

Got Your Back Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Fill out the form below and electronically submit it. There is no need to print it off, just do an electronic signature at the end and check "I am not a robot," then submit!

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!

Complete Form Online


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CONTACT US TODAY

We look forward to hearing from you

Office Hours

Monday:

9 AM- 2:00 PM

Tuesday:

2 PM - 8:00 PM

Wednesday:

9 AM- 2:00 PM

Thursday:

1 PM - 5:30 PM

Friday:

9 AM - 2:00 PM

Saturday:

Closed

Sunday:

Closed

Location

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Testimonial

  • "Dr. Amanda is an amazing chiropractor. She is so thorough and talented at what she does and really in it to make people feel better. She is a wonderful human being and I am so happy to have met her and experience her top notch work."
    Renee W. / Corning, NY

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