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North East Chiropractic Center 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.

  • Download the necessary form(s) and fill in the required information.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.

New Patient Intake 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!

 Patient Intake Form


Automobile Accident Questionnaire

Involved in an auto accident?  Please download and complete the following form.

Download & Print Form



Download the Free AdobeReader®

NEW PATIENTS RECEIVE A COMPLIMENTARY CONSULTATION. (TALK WITH DR. OSENGA ABOUT YOUR CONDITION AND SEE IF WE CAN HELP.)

THIS ---->https://northeastchirocentercom.chiromatrixbase.com/online-forms.html

Office Hours

DayOpenClosed
Monday8:30am6:00pm
Tuesday8:30am5:00pm
Wednesday8:30am6:00pm
Thursday8:30am5:00pm
FridayClosedClosed
Saturday8:30am-12:30pm1st and 3rd of the Month
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am 8:30am 8:30am 8:30am Closed 8:30am-12:30pm Closed
6:00pm 5:00pm 6:00pm 5:00pm Closed 1st and 3rd of the Month Closed

Testimonial

I love this place. I love the doctor. I Always feel welcome and the women at the desk are so sweet. I had a pregnancy massage and she was so sweet and friendly.

BECKY S.
Fort Wayne, IN

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