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Providing excellent chiropractic care to York, East York, York City and West York, Pennsylvania since 1996. Participating with all insurance, including Highmark , CareFirst , Medicare , any Blue Cross/ Blue Shield plans.
AquaMassage & Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.
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
Free AquaMassage and Consultation
Contact us at (717) 757-0610 to take advantage of this exclusive offer.
Day Morning Afternoon
Mon day 9:00 - 12:00 2:00 - 6:00
Tues day 9:00 - 12:00 Closed
Wed nesday 9:00 - 12:00 2:00 - 6:00
Thurs day 9:00 - 12:00 Closed
Fri day 9:00 - 12:00 2:00 - 6:00
Sat urday Closed Closed
Sun day Closed Closed
Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Contact Us We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.
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All Rights Reserved.
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