New Patient Paperwork

Dyer Chiropractic Clinic 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) at (317) 882-4898 or bring them with you to your appointment.
  • If the patient is 18 years of age or younger, please fill out this Consent to Treat Minor form.

8:30am - 5:30pm

8:30am - 5:30pm

6:30am - 5:00pm

8:30am - 5:30pm

6:30am - 12:00pm

Saturday & Sunday

Dyer Chiropractic Clinic
33 East County Line Road Suite A
Greenwood, IN 46143
(317) 882-4922