Online Forms

Cleveland Low Back Pain Clinic 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 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 Intake Forms (Required)

This lets us know the history and current state of your spinal health.

Intake Form
Health History Form

Privacy Policy



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Locations

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Office Hours

Our Regular Schedule

hours_body

Monday:

9:00am - 1:00pm

3:00pm - 7:00pm

Tuesday:

Closed

3:00pm - 7:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 7:00pm

Thursday:

9:00am - 1:00pm

3:00pm - 7:00pm

Friday:

9:00am - 1:00pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed