new and existing patient paperwork

Patient Forms

We want your first visit to be as efficient as possible. Save time by downloading and filling out the new patient paperwork prior to your first visit.

View Forms

Download Forms

Forms are in the PDF format. You will need PDF software on your computer, although most modern computers sold in the last 10 years come with PDF software out of the box. If yours didn’t, download Adobe Acrobat Reader here.

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New Patient Paperwork

Insurance and Billing Policies

Please contact our office for our current insurance and billing policies. We will update this information on our website soon.

All materials on this website including but not limited to text, copy, images and photographs are provided for informational purposes only. This website and related materials are not intended to be a substitute for professional health advice, diagnosis, or treatment. | Good Faith Estimate notice

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(717) 569-5075

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matt.mullins@nullchiropractic-1st.com

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245 Bloomfield Drive, Lititz, PA 17543

245 Bloomfield Drive
Lititz, PA 17543

Tel: (717) 569-5075