New Patient Paperwork

iMed Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) to (203) 366-7566 or bring them with you to your appointment.

OFFICE HOURS


Monday
9:00am - 8:00pm


Tuesday
Closed


Wednesday
9:00am - 8:00pm


Thursday
Closed


Friday
9:00am - 8:00pm


Saturday
9:00am - 1:00pm

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iMed Chiropractic
527 Tunxis Hill Road
Fairfield, CT 06825
(203) 333-7788