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New Patient Paperwork

Carter Chiropractic and Acupuncture offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Patient Forms

Monday
9:30am - 12:30pm
3:00pm - 5:30pm


Tuesday
9:30am - 12:30pm
3:00pm - 5:30pm


Wednesday
9:30am - 12:30pm
3:00pm - 5:30pm


Thursday
9:30am - 12:30pm
3:00pm - 5:30pm


Friday
Closed


Saturday
Closed

Carter Chiropractic and Acupuncture
1605 West Candletree Drive #111
Peoria, IL 61614
(309) 691-0486

Chiropractic Peoria IL Cox Seal
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