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Baldwin Chiropractic offers our patient form(s) online so they can be completed 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 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Sign up using the form below or call 859-625-5777 to make an appointment.

THIS ---->https://richmondkychiropractic.com/new-patient-center/online-forms.html

Office Hours

DayMorningAfternoon
Monday8:00am-12:00pm2:00pm-6:00pm
TuesdayClosedClosed
Wednesday8:00am-12:00pm2:00pm-6:00pm
Thursday8:00am-12:00pm2:00pm-6:00pm
Friday8:00am-12:00pm2:00pm-6:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am-12:00pm Closed 8:00am-12:00pm 8:00am-12:00pm 8:00am-12:00pm Closed Closed
2:00pm-6:00pm Closed 2:00pm-6:00pm 2:00pm-6:00pm 2:00pm-6:00pm Closed Closed

Testimonial

I am very thankful for the day that you were recommended to me by another Doctor. Your use of the vibro-massager, muscle toning therapy and the way you adjust and align my back are the best I have ever experienced in all of my years of Chiropractic care. It is always nice to see your smiling face and enjoy your personal kindness. You put me at ease and show me that you care. You are always willing to listen to me and hear what I have to say. You and your family have been a blessing to me. I will always recommend you to my friends for their Chiropractic needs. Thank you for being a great Doctor and friend to our community.

Chuck B.
Richmond, KY

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