New Patient Paperwork

We want the focus of your initial consult to be working toward wellness. Therefore, we’ve conveniently provided our patient intake forms here:

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

We are a full-service chiropractic office that is dedicated to ensuring optimal health for all of our patients.

We will tailor your program of treatment to your specific needs. We are a results-driven office, devoted to giving you the best care possible.

OFFICE HOURS


Monday
8:00am - 12:00pm
2:00pm - 6:00pm


Tuesday
8:00am - 12:00pm
2:00pm - 5:00pm


Wednesday
8:00am - 12:00pm
2:00pm - 6:00pm


Thursday
8:00am - 12:00pm


Friday
8:00am - 12:00pm
1:00pm - 5:00pm


Saturday
Closed

Daley Chiropractic Healthcare Clinic
637 West Tuscarawas Avenue
Barberton, OH 44203
(330) 745-2033