Gentle Hands Family 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.

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!

Download & Print Form



Download the Free AdobeReader®

Office Hours

Our Regular Schedule

New Hartford Office Hours

Monday

Closed

Tuesday

9:00 AM - 12:00 pm

2:00 pm - 6:00 pm

Wednesday

Closed

Thursday

9:00 AM - 12:00 pm

2:00 pm - 6:00 pm

Friday

By Appointment

By Appointment

Saturday

Closed

Sunday

Closed

West Burlington Office Hours

Monday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday

Closed

Wednesday

9:00 AM - 12:00 pm

2:00 pm - 6:00 pm

Thursday

Closed

Friday

By Appointment

By Appointment

Saturday

Closed

Sunday

Closed

New Hartford Office Hours

Monday
Closed
Tuesday
9:00 AM - 12:00 pm 2:00 pm - 6:00 pm
Wednesday
Closed
Thursday
9:00 AM - 12:00 pm 2:00 pm - 6:00 pm
Friday
By Appointment By Appointment
Saturday
Closed
Sunday
Closed

West Burlington Office Hours

Monday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Tuesday
Closed
Wednesday
9:00 AM - 12:00 pm 2:00 pm - 6:00 pm
Thursday
Closed
Friday
By Appointment By Appointment
Saturday
Closed
Sunday
Closed

Locations

Find us on the map