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Cook Chiropractic & Rehabilitation

266 S 7th Street

Indiana, PA 15701 US

724-465-9160

724-465-9161

Online Forms

Cook Chiropractic & Rehabilitation offers our patient form(s) online so they can be completed in the convenience of your own home or office.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, or goals regarding wellness can we help you with? Let us know!

  • Click Here to Download & Print Form

  • 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.
  • If you do not already have AdobeReader® installed on your computer, click here to download.

Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Location

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Office Hours

Our Regular Schedule

Monday:

8:15 am

6:00pm

Tuesday:

9:00 am

3:00pm

Wednesday:

8:15 am

6:00pm

Thursday:

Emergencies

Emergencies

Friday:

8:15 am

5:30pm

Saturday:

Emergencies

Emergencies

Sunday:

Emergencies Only

Emergencies Only