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Printable Forms

Ellenberger 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

Functional Rating Index

Personal Injury Questionnaire

Family Chiropractic Plan

HIPAA Consent Form

Tips From Dr. Ellenberger

Tri-Fold Health Through Chiropractic



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Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-8:00 pm

Tuesday:

9:00 am-12:00 pm

1:00 pm-6:00 pm

Wednesday:

9:00 am-8:00 pm

Thursday:

Closed

Friday:

9:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I really like Dr. Ellenberger. He is caring and takes his time with us. I don’t feel rushed like with many other doctors. I really like my monthly adjustment."
    F - Mount Joy, PA
  • "I have been a patient of Dr. Ellenberger for several years (since 1985). The adjustments have made much improvement in my overall health. Now with the regular adjustments plus the “KST” it has made even better results. I recommend this for everyone. You will see a difference"
    J. D.