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Ontario Family Chiropractic 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.


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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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 419-529-0455 to make an appointment.

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

Office Hours

Day
Monday8am - 12pm2pm - 5pm
Tuesday8am - 12pm12pm - 1pm
WednesdayClosedClosed
Thursday8am - 12pm2pm - 5pm
Friday8am - 12pm12pm - 1pm
SaturdayBy Appointment OnlyBy Appointment Only
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am - 12pm 8am - 12pm Closed 8am - 12pm 8am - 12pm By Appointment Only Closed
2pm - 5pm 12pm - 1pm Closed 2pm - 5pm 12pm - 1pm By Appointment Only Closed

Testimonial

Dr. Cypher's is an educator as well as a great chiropractor! When I come in for my adjustments, I know he is going to tell me just what is going on and even gets out his medical books to show/explain to me. I often refer my clients to him. Thank you Dr. Cypher's for your level of knowledge, willingness to share it, and professionalism. Your new office is beautiful!

Gayle L.
Mansfield, OH

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