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Online Forms

Grifall Family Chiropractic offers our patient form(s) online so they can be completed 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: Medical Records (HIPAA) Form (Required)

This form describes how chiropractic and medical information about you may be used and disclosed and how you can get access to this information. Please read carefully.

Consent for Care Form

Download & Print Form

Financial Policy Form

Download & Print Form



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Location

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Office Hours

Our Regular Schedule

Primary Location

Monday:

8:00 am-12:00 pm

3:00 pm-7:00 pm

Tuesday:

8:00 am-12:00 PM

3:00 pm-7:00 pm

Wednesday:

9:00 am-11:00 am

3:00 pm-7:00 pm

Thursday:

8:00 am-12:00 pm

3:00 pm-7:00 pm

Friday:

8:00 am-1:00 pm

Closed

Saturday:

Closed

Sunday:

Closed