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

  • Authorization for Release of Patient Information

    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.

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