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Chiropractic & Wellness - New Patient Forms

Our new patient forms may be filled out online or they can be downloaded, printed, and filled out. Fax us your printed and completed form(s) or bring it with you to your appointment.

If you fill out the forms prior to your appointment you will need only to arrive at our office 5 minutes prior to your appointment time.

If you choose not to fill out the forms in advance, please plan to arrive at our office 30 minutes prior to the scheduled appointment time in order to complete the paperwork.

In order to download the forms you must have AdobeReader® installed on your computer. If you do not already have AdobeReader® Click Here to download.


Notice Of Patient Privacy Policy


Complete New Patient Forms Online

Forms may be filled out using a computer, notebook or Ipad. They cannot be filled out on and Android device or Iphone.

An electronic signature is required at the end of the form before the form the can be uploaded. To sign the document simply write your signature in the box using your mouse or mouse pad. The signature cannot be typed in.

Fill Out New Patient Forms Online

If you would like to Download & Print New Patient Forms then fax to us before your appointment please send the forms to us usiing the following fax number:

96th Street (317) 581-0209

You may also bring completed forms with you to your appointment.



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Convenient Northside Location


1305 W. 96th Street Suite C
Indianapolis, IN 46260


317-580-9867


Get Directions

Office Hours

Our 96th Street office is convenient to north Indianapolis, Nora, Carmel, and Zionsville.

Chiropractic Office Hours - Dr. Mary Jo Johnson

Monday:

10:30 am-6:30 pm

Tuesday:

8:00 am-4:00 pm

Wednesday:

10:30 am-6:30 pm

Thursday:

8:00 am-4:00 pm

Friday:

10:00 am-3:00 pm

Saturday:

Special appointment only

Sunday:

Closed

Therapeutic Massage Hours - Becky Troyer, CMT

Monday:

10:00 am-7:30 pm

Tuesday:

11:00 am-6:30 pm

Wednesday:

11:30 am-7:40 pm

Thursday:

10:30 am-6:30 pm

Friday:

Special appointment only.

Saturday:

Closed

Sunday:

Closed

Marie Scott, CMT

Monday:

Out

Tuesday:

1:20 pm-7:30 pm

Wednesday:

12:00 pm-8:00 pm

Thursday:

Out

Friday:

Out

Saturday:

Closed

Sunday:

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "Thank you Dr. Johnson - your gentle and holistic approach to chiropractic care and wellness is greatly appreciated. Your work and that of your wellness team is among the best!"
    R. D.

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