Louisville Family Chiropractic offers our patient form(s) online so they can be completed it 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 (502-326-9952) your printed and completed form(s) or bring it with you to your appointment.
  • If you are unable to print and complete the forms before your appointment time please arrive 15 minutes prior to your appointment time.

Application for Care-Required for all adults (unless pregnant)

Download & Print Form

Pregnant Application for Care-Required if Pregnant

Download & Print Form

Infant, Child & Adolescent Questionnaire- Required for all children

Download & Print Form

Personal Injury Form - Required for Motor Vehicle Accident

Download & Print Form

Download the Free AdobeReader®


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Louisville Family Chiropractic
7300 New LaGrange Rd.
Louisville, KY 40222
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  • Phone: 502-326-9950
  • Fax: 502-326-9952
  • Email Us

Office Hours

Monday9:00 - 1:003:00 - 6:00
Tuesday9:00 - 11:00Closed
Wednesday9:00 - 1:003:00 - 6:00
Thursday9:00 - 1:003:00 - 6:00

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