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Exclusive Offer

New Patients Receive a Free Consultation

Online Forms

Darlington Chiropractic 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 wish to fill out the provided paperwork before your appointment, we just ask that you come 15 minutes prior to your appointment time and we will provide you with the needed forms.

  • 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 Pediatric Form (Infant to Age 2)

Download & Print Form


New Patient Children's Form (Ages 3-12)

Download & Print Form


New Patient Adult Form (Ages 13 to elderly)

Download & Print Form




Download the Free AdobeReader®