Online Forms

Dr. Dean's Chiropractic House Call's 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.
  • Have your completed form(s) with you when Dr. Cherniak arrives at 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 AdobeReader®

New patients receive a free consultation!

Initial Exam and first treatment for $65.00

Clinic Hours

*Every other Saturday is by Appointment Only | Sundays are Emergencies only

Primary Location

Monday:

9:00 AM-6:00 PM

Tuesday:

9:00 AM-6:00 PM

Wednesday:

9:00 AM-6:00 PM

Thursday:

9:00 AM-6:00 PM

Friday:

9:00 AM-6:00 PM

Saturday:

Sunday:

Closed

Locations

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