Got an appointment? Need New Patient Forms?
Download and print what you need to make your visit easier.
If you are coming to our office for Fibromylagia please also fill out the Fibromyalgia Impact Questionnaire.
Download and print.
If for any reason you are not able to download and print these forms please contact our office for assistance. (309) 786-3012
Terms and conditions:
The above forms are for the use of persons seeking care at Scranton Clinic of Chiropractic.
All coupons MUST be presented during first visit to receive discount. No exceptions.
Any discounted x-rays remain the property of Scranton Clinic of Chiropractic unless paid in full.
Medicare exclusions may apply.
Dr Scranton's Fibromyalgia Hotline.
Call to schedule your Fibromyalgia appointment.
(309) 749-7405
