New Patient Paperwork

Gray Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Form

    Click to Download

Complete if you would like us to send our records or request another provider’s records. Fax the completed form to (207) 657-5202 or mail the document to us.

  • Authorization for Release of Patient Information

    Click to Download

OFFICE HOURS


Monday
2:30pm - 6:30pm


Tuesday
9:00am - 1:00pm


Wednesday
2:30pm - 6:30pm


Thursday
2:30pm - 6:30pm


Friday
9:00am - 1:00pm


Saturday & Sunday
Closed

We are closed all legal holidays

Gray Chiropractic Center

2 McConkey Rd Suite 3
Gray, ME 04039

(207) 657-5200