Online Forms

Active Care 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.
  • Email your printed and completed form(s) to [email protected] 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®

Active Care Chiropractic

Address

3240 Lone Oak Rd,
Paducah, KY 42003

Monday  

9:00 am - 5:30 pm

Tuesday  

12:00 pm - 5:30 pm

Wednesday  

9:00 am - 5:30 pm

Thursday  

12:00 pm - 5:30 pm

Friday  

8:00 am - 4:00 pm

Saturday  

Closed

Sunday  

Closed