If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

East Stroudsburg Chiropractor | East Stroudsburg chiropractic care | PA | Online Forms

75 Crystal Street
East Stroudsburg, PA 18301
570-420-8221

Online Forms
 

The Chiropractic Office of Dr. Lorraine Alexis 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 

 
 
 
East Stroudsburg Chiropractor | Online Forms. Dr. Lorraine Alexis is a East Stroudsburg Chiropractor.