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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. 

New_Patient_Paperwork.pdf



Indiana HIPAA complaint form

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



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Greensburg Office

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-1:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Office Hours

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-5:00 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:

Closed

Saturday:

Closed

Sunday:

Closed