Let Us Straighten You Out!
814-398-2887

These forms may be downloaded

Document Description Type & Size
AUTO ACCIDENT QUESTIONAIRE.docx
If you are being seen for a car accident, please fill out these forms
docx
0.02 MB
RELEASE OF MEDICAL RECORDS.doc
Give to current doctor or hospital to have them release the needed records to our office.
doc
0.04 MB
Systems Questionaire.docx
Fill this questionaire out and bring it to your visit with you if you are having odd symptoms or if Dr. Henry-Burnett requests that you do.
docx
0.04 MB
welcome packet.docx
Includes the history, present complaint and demographics forms for your 1st visit.
docx
0.06 MB
PI or WORKER'S COMP QUESTIONAIRE.docx
Fill these out if you have been hurt on the job or someplace else other than a vehicle.
docx
0.02 MB

QuickFacts

Address
HENRY-BURNETT CHIROPRACTIC
22295 Route 6
Cambridge Springs, PA 16403
Hours
Monday:
9 AM - 5 PM
Tuesday:
Closed
Wednesday:
9 AM - 5 PM
Thursday:
Closed
Friday:
9 AM - 5 PM
Saturday:
Appt Only
Sunday:
Closed
Contact
Phone: 814-398-2887
Fax: 814-398-2903

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