Online Forms

New Hampshire Chiropractic Clinic offers our patient form(s) online so they can be completed 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

Health Survey

Download & Print Form



Download the Free Adobe Reader®

Contact Us

Office Hours

Our main location

Portsmouth Hours

Monday

Closed

Tuesday

9:00 am - 8:00 pm

Wednesday

Closed

Thursday

9:00 am - 8:00 pm

Friday

9:00 am - 8:00 pm

Saturday

Closed

Sunday

Closed

Portsmouth Hours

Monday
Closed
Tuesday
9:00 am - 8:00 pm
Wednesday
Closed
Thursday
9:00 am - 8:00 pm
Friday
9:00 am - 8:00 pm
Saturday
Closed
Sunday
Closed

Maps & Directions

Our main location