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Practice Name

Lancaster Chiropractic Clinic

Primary Location
2827 Marietta Avenue
Lancaster, PA 17601
Phone: 717-898-2400

Office Hours

DayMorningAfternoon
Monday9:00am - 12:00pm3:00pm - 7:00pm
TuesdayClosed1:00pm - 5:00pm
Wednesday9:00am - 1:00pm
ThursdayClosed4:00pm - 7:30pm
FridayClosedClosed
SaturdayEmergenciesOnly
SundayEmergenciesOnly
Main Content

In order to provide you the best possible wellness care, please complete this form

Patient Data

Mailing Address

Current Complaints

Nature of Injury

Insurance Information

*If an auto accident, please provide:

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

Exclusive Offer

New patients receive 50% OFF first visit. A $50 Value!

Sign-up using the form or call us at 717-898-2400 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services

Testimonial

Dr. Mandel was very experienced and knew exactly what was wrong with me. It took a few treatments, but now I feel great!

- Meredith13 @ CitySearch / Lancaster, PA

Business Hours

DayMorningAfternoon
Monday9:00am - 12:00pm3:00pm - 7:00pm
TuesdayClosed1:00pm - 5:00pm
Wednesday9:00am - 1:00pm
ThursdayClosed4:00pm - 7:30pm
FridayClosedClosed
SaturdayEmergenciesOnly
SundayEmergenciesOnly

Request an Appointment

717-898-2400

Contact

Lancaster Chiropractic Clinic
2827 Marietta Avenue
Lancaster, PA 17601
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