New Patient Paperwork

University Chiropractic & Wellness 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.
  • Bring the necessary form(s) to your appointment.
  • New Patient Paperwork

    Click to Download

  • United Healthcare Patient Paperwork

    Click to Download

  • Cigna Patient Paperwork

    Click to Download

  • Auto Accident Paperwork

    Click to Download

Monday
8:00am - 12:30pm
2:00pm - 6:00pm


Tuesday
8:00am - 12:30pm
2:00pm - 6:00pm


Wednesday
8:00am - 12:30pm
2:00pm - 6:00pm


Thursday
8:00am - 12:30pm
2:00pm - 6:00pm


Friday
9:00am - 12:00pm


Saturday & Sunday
Closed

University Chiropractic & Wellness

523 Queen City Ave
Tuscaloosa, AL 35401

(205) 248-7656
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