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Village Family Chiropractic 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

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

Doctor-Patient Relationship in Chiropractic Informed Consent Form

Download & Print Form

Financial Policy Form

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Signature On File

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Informed Consent to Treat Minor Child Form

Download & Print Form

Insurance Coverage Disclaimer Form

Download & Print Form

Privacy Notice

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Member Wellness Registration Form

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

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Exclusive Offer

Sign-up using the form or call us at (508) 347-2266 to take advantage of this exclusive offer.

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

Office Hours

Monday9:00am - 12:00pm2:00pm - 5:00pm
Tuesday9:00am - 12:00pm2:00pm - 5:00pm
Wednesday9:00am - 12:00pm2:00pm - 6:00pm
Thursday9:00am - 12:00pm2:00pm - 5:00pm
Friday9:00am - 12:00pm2:00pm - 6:00pm
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm 9:00am - 12:00pm Closed Closed
2:00pm - 5:00pm 2:00pm - 5:00pm 2:00pm - 6:00pm 2:00pm - 5:00pm 2:00pm - 6:00pm Closed Closed


I have benefited tremendously from the chiropractic care I received from Dr. DiGregorio.

John Doe
Sturbridge, MA

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