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New patients receive a complimentary consultation.

Online Forms

Poole Pain Relief and Wellness Clinic, Inc. offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Accident Questionnaire

Download & Print Form


Massage Therapy Forms

Download & Print Form 1
Download & Print Form 2
Download & Print Form 3



Download the Free AdobeReader®

Contact Us

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Location

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Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 PM

2:00 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Thursday:

Closed

Closed

Friday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed