WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Crossroads Chiropractic and Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. This should save about 15-20 minutes.

  • 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

Email Us Completed Forms


Exclusive Offer

Sign Up Now for New Patient Specials!

THIS ---->https://drdomanskicom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8 am - Noon3 - 6pm
Tuesday-3 - 6pm
Wednesday8 am - Noon3 - 6pm
Thursday8 am - Noon3 - 6pm
Friday8 am - Noon3 - 6pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 am - Noon - 8 am - Noon 8 am - Noon 8 am - Noon Closed Closed
3 - 6pm 3 - 6pm 3 - 6pm 3 - 6pm 3 - 6pm Closed Closed

Testimonials

I have benefited tremendously from the chiropractic care I received from Dr. Domanski.

Dominic Valentino
Savannah, GA

Newsletter Sign Up