Online Forms

Stepping Stone Chiropractic 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 Paperwork

Download and Print Form

Patient Health History

Informed Consent to Care

Authorization To Use Or Disclose Protected Health Information

Functional Rating Index - For use with Neck and/or Back Problems only


Patient Update Paperwork

Download and Print Form

Informed Consent to Care

Authorization To Use Or Disclose Protected Health Information

Functional Rating Index - For use with Neck and/or Back Problems only


Download the Free Adobe Reader®

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Locations

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Office Hours

Our Regular Schedule

Richmond Office

Monday:

8:00 am-5:00 pm

Tuesday:

Closed

Wednesday:

8:00 am-5:00 pm

Thursday:

Closed

Friday:

Friday 8:00 am until 12:00 pm by appointment only

Saturday:

Closed

Sunday:

Closed

Ashland Office

Monday:

Closed

Tuesday:

7:00 am-12:00 pm

2:00 pm-6:00 pm

Wednesday:

Closed

Thursday:

7:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed