650 N Gospel St, Paoli, IN 47454

Schedule an Appointment  | (812) 252-2225

650 N Gospel St, Paoli, IN 47454

Schedule an Appointment  | (812) 252-2225

Online Forms

Pedersen Chiropractic 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.
  • 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!

Download & Print Form


Download the Free Adobe Reader®

HOURS

Monday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Wednesday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday  

Closed

Friday  

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Saturday  

By Appointment Only

Sunday  

Closed

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Please do not submit any Protected Health Information (PHI).