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Patient Forms

Bring in your printed and completed forms to expedite your office visit. The following forms and useful documents are in Adobe Acrobat; they require the free Acrobat Reader to view. Click on each to download and view.



Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.

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Location

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Office Hours

Leucadia Chiropractic Wellness Clinic

Monday:

8:00am - 12:30 pm

2:30pm - 5:00pm

Tuesday:

8:00am - 12:30pm

2:30pm - 6:00pm

Wednesday:

8:00am - 2:30pm

2:30pm - 6:00pm

Thursday:

8:00am - 1:00pm

Friday:

8:00am - 1:00pm

2:30pm - 5:00pm

Saturday:

8:00am - 12:30pm

Sunday:

Closed