Online Forms

Blanton Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or 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 Dr.Tim 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  


Download the Free AdobeReader®

New patients receive Free Consultation.

Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

3:00 pm-5:45 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-5:45 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-5:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-5:45 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonial

  • "In January, I injured my back. This injury caused a bulgded disc and one herniated disc. Since this time I am plagued w/ pain. I am glad you and your staff are there. I know whenever my back pain starts to get worse, relief is just a phone call away. I will continue to seek the healing aid delivered by Dr Blanton."
    Kenneth E. - Ponca City, OK

Featured Articles

Read about interesting topics

Newsletter Sign Up