Online Forms

Justino Chiropractic and Wellness Center offers our patient form(s) online so you can complete 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 your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This let's 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 


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Contact Us

Office Hours

Our Regular Schedule

Monday:

8:30 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday:

Closed

Wednesday:

8:30 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday:

Closed

Friday:

8:30 am - 12:00 pm

2:00 pm - 6:00 pm

Saturday:

Closed

Sunday:

Closed

Location

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Testimonial

Reviews By Our Satisfied Patients

  • "Just after my initial visit with Dr. Justino I could feel relief. I feel like I have a new and improved neck and the pain across my back and tightness in my hip has eased. I am happy to say that I feel so much better."
    Bill, age 66

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