New Patient Paperwork

Hiers Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office.

  • New Patient Intake Form

    Click to Complete

  • Pediatric Intake Form

    Click to Complete

  • Personal Injury/Motor Vehicle Accident New Patient Form

    Click to Complete

  • HIPAA Privacy Form

    Click to Complete

OFFICE HOURS

Monday
8:00am - 5:00pm

Tuesday
8:00am - 12:00pm

Wednesday
8:00am - 5:00pm

Thursday
8:00am - 5:00pm

Friday
8:00am - 12:00pm

Saturday & Sunday
Closed

Hiers Chiropractic

4523 Park Rd A 102
Charlotte, NC 28209

(704) 919-0411