New Patient Paperwork

Wheatfield Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Case History

    Click to Download

  • HIPPA Form/Privacy Notice

    Click to Download

  • Contact Preference Form

    Click to Download

  • Anti-Discrimination Notice

    Click to Download

  • No Surprise Act Notice

    Click to Download

OFFICE HOURS


Monday
8:00am - 12:00pm


Tuesday
8:00am - 11:00am
1:30pm - 5:30pm


Wednesday
1:00pm - 7:00pm


Thursday
8:00am - 11:00am
1:30pm - 5:30pm


Friday
Closed


Saturday
8:00am - 12:00pm


Sunday
Closed

Wheatfield Family Chiropractic

8875 Porter Rd # 3
Niagara Falls, NY 14304

(716) 695-2225