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Practice Name

Willoughby Chiropractic Center

Primary Location
4045 Erie Street
Willoughby, OH 44094
Phone: 440-942-2225
Fax: 440-942-0372

Office Hours

DayMorningAfternoon
Monday9:00am - 12:00pm3:00pm - 6:00pm
TuesdayClosedClosed
Wednesday9:00am - 12:00pm3:00pm - 6:00pm
Thursday9:00am - 12:00pm3:00pm - 6:00pm
Friday8:30am - 12:00pmClosed
SaturdayClosedClosed
SundayClosedClosed
Main Content

Willoughby Chiropractic Center offers our patient form(s) online so you can complete 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 let's 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

Personal Injury History Form - Optional

Download & Print Form

Workers Compensation History Form - Optional

Download & Print Form

Symptom Survey- Required

This let's us know the history and current state of your symptoms.  Let us know!

Download & Print Form

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

New patients receive $55 initial visit.

Includes Consultation, Chiropractic Examination, Nutrition Consultation and X-rays or Spinal Adjustment. Sign up using the form below!

Name: *
Email: *
Phone: *

Office Hours

DayMorningAfternoon
Monday9:00am - 12:00pm3:00pm - 6:00pm
TuesdayClosedClosed
Wednesday9:00am - 12:00pm3:00pm - 6:00pm
Thursday9:00am - 12:00pm3:00pm - 6:00pm
Friday8:30am - 12:00pmClosed
SaturdayClosedClosed
SundayClosedClosed

 

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services

Testimonial

Excellent staff service, professionalism, knowledge and experience. I highly recommend seeing him if you are looking for a chiropractic doctor.

- Sue F. / Willoughby, OH

 



 

Contact

Willoughby Chiropractic Center
4045 Erie Street
Willoughby, OH 44094
Get Directions
  • Phone: 440-942-2225
  • Fax: 440-942-0372
  • Email Us
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