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New Patient Paperwork

Janke Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

printerNew Patient Paperwork - Click Here to Download

 

printerPediatric New Patient Paperwork - Click Here to Download

 

printerNerve Impulse Check - Click Here to Download

OFFICE HOURS
Monday8:00am - 12:00pm
2:00pm - 6:00pm
TuesdayClosed
Wednesday8:00am - 12:00pm
2:00pm - 6:00pm
Thursday8:00am - 12:00pm
2:00pm - 6:00pm
FridayClosed
SaturdayClosed
SundayClosed
Chiropractic Cortland NY Office Janke Family Chiropractic Logo

Janke Family Chiropractic
277 Tompkins Street #1
Cortland, NY 13045
(607) 662-0582

Recommended Chiropractor

WHAT OUR PATIENTS SAY

“If not for Dr. Janke, I would not be able to do the things I do. I went to him regularly and have been in great shape. Thank you Dr. Janke and Amanda!”

- Rosemarie H.

Recommended Chiropractor - White

277 Tompkins Street #1

Cortland, NY 13045