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Boothe Chiropractic Center offers our patient form(s) online so they can be completed it 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 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign-up using the form or call us at 276-783-7005 to make your appointment today!

THIS ---->https://boothechiro.com/new-patient-center/online-forms.html

Office Hours

DayMORNINGAFTERNOON
Monday8am-12pm2pm-6pm
Tuesday8am-12pmCLOSED
Wednesday8am-12pm2pm-6pm
Thursday8am-12pm (Dr. Truhlik only)2pm-6pm (Dr. Boothe & Dr. Truhlik)
Friday8am-12pmCLOSED
SaturdayCLOSEDCLOSED
SundayCLOSEDCLOSED
Day MORNING AFTERNOON
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am-12pm 8am-12pm 8am-12pm 8am-12pm (Dr. Truhlik only) 8am-12pm CLOSED CLOSED
2pm-6pm CLOSED 2pm-6pm 2pm-6pm (Dr. Boothe & Dr. Truhlik) CLOSED CLOSED CLOSED

Wonderful place, Dr. Boothe has helped me so much. He has improved my quality of life greatly. His staff is terrific! Thanks to a pillow I bought there I have slept better than I have in years.

Linda S.
Marion, VA

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