New Patient Online Forms

office hours

Monday: 7:00am – 6:00pm
Tuesday: 7:00am – 12:00pm & 2:00pm – 6:00pm
Wednesday: 7:00am – 6:00pm
Thursday: 7:00am – 6:00pm
Friday: 7:00am – 6:00pm
Saturday: 10:00am – 2:00pm
Sunday: Closed

 

 

contact information

Stellhorn Chiropractic
4401 Blum Dr
Fort Wayne, IN 46835
Phone: (260) 485-1433

online forms

At Stellhorn Chiropractic, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

Informed Consent for Chiropractic Care – Required

This lets us know the patient understands both the objective(s) and method(s) that will be used and gives us consent to care. What questions, concerns, and goals regarding wellness can we help you with?

Financial Policy Form – Required

This form states that this office does not submit claims for insurance reimbursement. We look forward to making your experience with our office and website user friendly, more interactive, and rewarding!