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Online Forms

deBarros Chiropractic 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 Forms - 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 and Print Forms

Download and Print Forms

Download and Print Forms

Download and Print Forms

Download and Print Forms

Download and Print Forms

Download and Print Forms


Personal Injury Forms

These forms are for patients that have been involved in an accident. Please bring all pertinent information regarding your case including your health insurance, auto insurance, claim number, at fault insurance, and attorny's name.

Download & Print Form


Workers Compensation Injury Forms

These forms are for patients that have been involved in a work injury. Please bring all pertinent information regarding your case including your employer's name, address, supervisor's name, telephone number, employer's workers compensation insurance company, insurance contact person, claim number and telephone number.

Download & Print Form


Download the Free AdobeReader®


Contact Us

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Location

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Office Hours

Our Regular Schedule

de Barros Chiropractic Clinic

Monday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed