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www.faywestchiro.com

Online Forms

Fay West Chiropractic Health Center offers our patient forms online so you can complete paperwork in the convenience of your own home or office.

  • Download the necessary forms, print them out and fill in the required information.
  • Fax us your printed and completed forms or bring them 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! 

 Print New Patient Forms (Word 97-03)

Print New Patient Forms (PDF)


Electronic Newsletter Registration - Optional

From the homepage, you can enter your name and e-mail address to subscribe to the Fay West Chiropractic newsletter.  You can select the topics that interest you to receive helpful information.  We highly encourage you to register for the "Doctor's Announcements" section for updates on upcoming workshops, office hours around holidays and other important announcements.



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Contact

Fay West Chiropractic Health Center
280 Crossroads Plaza
Mount Pleasant, PA 15666
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  • Phone: 724-547-1800
  • Fax: 724-547-1802
  • Email Us

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