- We strive to provide complete care for our patients. Learn more about all the services we provide.
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Miano Family Chiropractic Center, LLC offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
New Patient Registration Form - Required
Please take your time and fill out this form as completely as possible. This supplies our office with the personal and insurance information necessary to become a new patient.
New Patient Health History Form - Required
Please be sure to fill out all pages of the form(s) completely. This allows us to gather the information needed to properly analyze your condition and recommend appropriate care.
Chiropractic Intake Form (Adult): Download & Print Form
Chiropractic Intake Form (Pregnancy): Download & Print Form
Chiropractic Intake Form (Pediatric): Download & Print Form
Acupuncture Intake Form: Download & Print Form
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!
Welcome New Patients!
|Monday||10:00am - 12:45pm||3:00pm - 6:30pm|
|Wednesday||By Appointment||3:00pm - 6:30pm|
|Friday||10:00am - 12:45pm||3:00pm - 6:30pm|
|Saturday||10:00am - 12:00pm*||Closed|
|10:00am - 12:45pm||Closed||By Appointment||Closed||10:00am - 12:45pm||10:00am - 12:00pm*||Closed|
|3:00pm - 6:30pm||Closed||3:00pm - 6:30pm||Closed||3:00pm - 6:30pm||Closed||Closed|
We value our patients' experience at the Miano Family Chiropractic Center, LLC. If you are currently a patient, please feel free to complete the following Chiropractic and/or Acupuncture Questionnaire. Please bring in your completed form to let us know what you think! They are in Adobe Acrobat format, and requires the free Acrobat Reader to view.