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Practice Name

Makefield Chiropractic Center

Social Media
Primary Location
11 Friends Lane, Suite 111
Newtown, PA 18940
Phone: 215-860-9660
Fax: 215-860-9663

Office Hours

Day
Monday7-10am3-6pm
Tuesday3-6pm
Wednesday7-10am3-6pm
Thursday7-10am3-6pm
FridayClosed
Saturday8-11am
SundayClosed
Main Content

Makefield 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

Pediatric Health History Form - Required for Children

This lets us know the history and current state of your child's health.

Download & Print Form

Reactivation Form - Required for Previous Patients

This lets us know the current state of your health. Have you had any complaints since we last saw you? Has your address or contact information changed? Let us know!

Download & Print Form

Automobile Accident Form

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!


Exclusive Offer

New patients receive 15% OFF first visit.

Sign-up using the form or call us at 215-860-9660 to take advantage of this exclusive offer.

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Meet Doctor Tom

Learn about Dr. Tom's chiropractic journey, his approach to your health and well-being and how he can help you...

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Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Makefield Chiropractic Center
11 Friends Lane, Suite 111
Newtown, PA 18940
Get Directions
 
  • Phone: 215-860-9660
  • Fax: 215-860-9663
  • Email Us

Office Hours

Day
Monday7-10am3-6pm
Tuesday3-6pm
Wednesday7-10am3-6pm
Thursday7-10am3-6pm
FridayClosed
Saturday8-11am
SundayClosed
Newsletter

Newsletter Sign Up










Community Content
Member Wellness