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Online Forms

Paunicka Chiropractic Clinic 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.
  • Completed form(s) can then be brought 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!

New Patient Form


Download the Free Adobe Reader®

Our Locations

Office Hours

Monday:

8:00 am-2:00 pm

4:00 pm-6:00 pm

Tuesday:

8:00 am-2:00 pm

4:00 pm-6:00 pm

Wednesday:

8:00 am-2:00 pm

4:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

8:00 am-2:00 pm

4:00 pm-6:00 pm

Saturday:

By Appointment Only

Sunday:

Closed

Reviews From our Satisfied Patients:

  • "Dr. Mark Paunicka is the best! I truly believe that I would not be getting around with out him. So far he has been able to fix all of my issues and I have had many!!! He takes the time to listen to your complaint and really develops a plan of action with you. Everyone at this office truly cares about the patients coming in. Always a pleasant experience."
    Denise B