Five Points Chiropractic & Wellness

Five Points 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.

Patient Intake Form

Download & Print Form

Patient Experience Survey

Download & Print Form




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Locations

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Office Hours

North Side/Pittsburgh Office

Monday

11:00 am - 6:00 pm

Tuesday

Closed

Wednesday

9:00 am - 12:00 pm

2:00 pm - 5:00 pm

Thursday

Closed

Friday

9:00 am - 12:00 pm

2:00 pm - 5:00 pm

Saturday

Closed

Sunday

Closed

Bethel Park Office

Monday

Closed

Tuesday

9:00 AM - 12:00 pm

2:00 pm - 5:00 pm

Wednesday

Closed

Thursday

11:00 am - 6:00 pm

Friday

Closed

Saturday

9:00 am - 11:00 am

Sunday

Closed

North Side/Pittsburgh Office

Monday
11:00 am - 6:00 pm
Tuesday
Closed
Wednesday
9:00 am - 12:00 pm 2:00 pm - 5:00 pm
Thursday
Closed
Friday
9:00 am - 12:00 pm 2:00 pm - 5:00 pm
Saturday
Closed
Sunday
Closed

Bethel Park Office

Monday
Closed
Tuesday
9:00 AM - 12:00 pm 2:00 pm - 5:00 pm
Wednesday
Closed
Thursday
11:00 am - 6:00 pm
Friday
Closed
Saturday
9:00 am - 11:00 am
Sunday
Closed