Online Forms

Benner Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReaderĀ® 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 Health History Form

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Oswestry Index Form

Download & Print Form

Neck Disability Index Form

Download & Print Form

Financial Responsibility Form

Download & Print Form

Family Authorization Form

Download & Print Form

Patient Office Information Form

Download & Print Form

CONTACT US TODAY

We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Saratoga Springs Office

Monday:

8:30 am-12:00 pm

2:30 pm-5:30 pm

Tuesday:

9:00 am-2:00 pm

Wednesday:

8:30 am-12:00 pm

2:30 pm-5:30 pm

Thursday:

8:30 am-12:00 pm

2:30 pm-5:30 pm

Friday:

8:30 am-12:00 pm

Saturday:

Closed

Sunday:

Closed