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Seymour Office

(812) 519-2963

Greensburg Office

(812) 663-7640

Online Forms

Health Centered Spine and Wellness offers our patient form(s) online so they can be completed 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 Packet - 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 and print out the new patient packet by clicking on the link below. 

/storage/app/media/New_Patient_Paperwork.pdf

New Weight Loss Patient Packet - Required 

If you are a new patient in our Health Centered Weight Loss program, please download and print out the new weight loss patient packet by clicking the link below.  Let's get started on the new you!

/storage/app/media/New_Patient_Paperwork_2.20.18.pdf

Indiana HIPPAA complaint form

https://my.chiromatrix.com/002...



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Seymour Office

Monday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

1:00 pm-6:00 pm

Friday:

8:00 am-1:00 pm

Closed

Saturday:

Closed

Sunday:

Closed

Greensburg Office

Monday:

9:00 am-12:00 pm

1:00 pm-6:00 pm

Tuesday:

7:00 am-12:00 pm

1:00 pm-5:00 pm

Wednesday:

7:00 am-12:00 pm

1:00 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

1:00 pm-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed