Accessibility View Close toolbar

Online Forms

Westmoreland Chiropractic & Rehab Associates offers our patient form(s) online so you can complete it 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 Health History Form - Required

This let's 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

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speeding up your office visit and allowing us to better serve your healthcare needs.


Confidential Client Questionnaire

Download & Print Form 


Health Appraisal Questionnaire

Download & Print Form



Download the Free AdobeReader®

Sign Up Using the Form Below or Call (724) 325-2112 to Make an Appointment.

Greensburg

Office Hours

Monday:

9:00 am-7:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

1:00 pm-7:00 pm

Friday:

9:00 am-7:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed

Export/Mamont

Office Hours

Monday:

10:00 am-7:00 pm

Tuesday:

2:30 pm-7:00 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

11:00 am-7:00 pm

Friday:

10:00 am-7:00 pm

Saturday:

9:00 am-1:00 pm

Sunday:

Closed

Location

Find us on the map