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Online Forms

Old Mill Chiropractic 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 Health History Form - 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 & Print Form


Auto Accident Form

Download & Print Form


Worker's Comp Form

Download & Print Form


Record Release Form

Download & Print Form


Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Old Mill Chiropractic

Monday:

9:00 - 11:30

1:30 - 6:30

Tuesday:

9:00 - 11:30

1:30 - 6:30

Wednesday:

9:00- 11:30

1:30 - 6:30

Thursday:

9:00 - 11:30

1:30 - 6:30

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonial

  • "I was referred to Dr. Coogan from a friend of mine, Laura, and patient of Dr. Coogan. I am currently recovering from breast cancer. The chemotherapy, surgery and hormonal therapy have had a big impact on my body. Chiropractic has helped me loosen tight connective tissue, increased function in my joints and reduced pain and inflammation in several parts of my body. Doc and the whole team at Old Mill Chiropractic are always so friendly and helpful. Thank You!!"
    Shelley G. patient since 2016