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Practice Name

Portage Chiropractic

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Primary Location
808 Caldwell Avenue, Suite 102
Portage, PA 15946
Phone: 814-736-9897
Fax: 814-736-9880

Office Hours

Day
Monday8:30 - 12:0012:00 - 6:00
TuesdayClosedClosed
Wednesday8:30 - 12:0012:00 - 6:00
Thursday8:30 - 12:0012:00 - 6:00
Friday8:30 - 11:00Closed
SaturdayClosedClosed
SundayClosedClosed
Main Content

Portage Chiropractic offers our patient form(s) online so they can be completed 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 Welcome Form - Required

Download & Print Form


Consent Form - Required

Download & Print Form


Activities of Daily Living Form - Required

Download & Print Form

_____________________________________________________________________________________

VAS Diagram Form- Required

Download & Print Form




Download the Free AdobeReader®

Exclusive offer

New patients receive 15% OFF first visit.

Sign-up using the form or call us at 814-736-9897 to take advantage of this exclusive offer.

Name: *
Email: *
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Our Services

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

View Services

Office Hours

Day
Monday8:30 - 12:0012:00 - 6:00
TuesdayClosedClosed
Wednesday8:30 - 12:0012:00 - 6:00
Thursday8:30 - 12:0012:00 - 6:00
Friday8:30 - 11:00Closed
SaturdayClosedClosed
SundayClosedClosed

Request Appointment

814-736-9897

Contact

Portage Chiropractic
808 Caldwell Avenue, Suite 102
Portage, PA 15946
Get Directions
  • Phone: 814-736-9897
  • Fax: 814-736-9880
  • Email Us
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