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Online Forms

Gucciardo Specific 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 Health History Form - Required

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!

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Location

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Office Hours

Our Regular Schedule

Gucciardo Specific Chiropractic

Monday:

Closed

3:00pm-7:00pm

Tuesday:

10:00am-1:00pm

2:00pm-6:00pm

Wednesday:

9:00am-1:00pm

3:00pm-6:00pm

Thursday:

Closed

1:00pm-7:00pm

Friday:

Closed

Saturday:

9:00am-12:00pm

*BY APPOINTMENT ONLY*

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I was amazed to find that the cause of my dizziness was caused by such a small and overlooked part of my spine. I had visited numerous doctors in the past with all of the test results coming back saying I was suffering from anxiety attacks. There was a feeling inside of me which was telling me that this was not really the cause. It must have been divine intervention which brought me to your web page and the solution to my problem. I would like to thank you for all you have done for me. It's amazing to think such a small and painless adjustment could help me feel better. While I know this is an ongoing process, I felt it important to let you know how much you have really helped. I look forward to the continued improvement in my health."
    -W.B.