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Online Forms

Clermont Chiropractic Life Center 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 Paperwork

Printable paperwork for all NEW patients who have never been seen by one of the doctors here at The Life Center.

New Patient 

New MVA Patient - Motor Vehicle Accident


Current Patient Paperwork

Re-Examination


Download the Free Adobe Reader®

Locations

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Office Hours

Our Regular Schedule

Primary Office

Monday:

7:30 am-12:00 pm

3:00 pm-6:30 pm

Tuesday:

3:00 pm-6:30 pm

Wednesday:

7:30 am-12:00 pm

3:00 pm-6:30 pm

Thursday:

3:00 pm-6:30 pm

Friday:

7:30 am-12:00 pm

3:00 pm-6:30 pm

Saturday:

Closed

Sunday:

Closed