new and existing patient paperwork

Patient Forms

Save time by downloading and filling out new patient paperwork prior to your first visit.

Fill Out Forms

Our forms are hosted online at ChiroTouch. We recommend using a desktop or laptop computer (not a tablet, iPad or smartphone) to fill them out.

Insurance and Billing Policies

Piedmont*, Anthem, Cigna, Aetna, United Health Care, Medicare, and cash rates available. 
*Lynchburg Chiropractic Center does not accept Medicaid

All materials on this website including but not limited to text, copy, images and photographs are provided for informational purposes only. This website and related materials are not intended to be a substitute for professional health advice, diagnosis, or treatment. | Good Faith Estimate notice

(434) 384-1631

3012 Forest Hills Circle, Lynchburg, VA 24501

3012 Forest Hills Circle
Lynchburg, VA 24501

Tel: (434) 384-1631