Online Forms

Barnes 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 AdobeReaderĀ® 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

Informed Consent Form

HIPAA Form     

Notice of Privacy Practices

Contact Us

Send us an email

Office Hours

Monday

10:00 am-4:00 pm

Tuesday

8:00 am - 5:30 pm

Wednesday

10:00 am - 5:30 pm

Thursday

CCWC Nappanee Office

Call (574)-295-9355

Friday

6:00 am - 11:00 am

Saturday

Closed

Sunday

Closed

Monday
10:00 am-4:00 pm
Tuesday
8:00 am - 5:30 pm
Wednesday
10:00 am - 5:30 pm
Thursday
CCWC Nappanee Office Call (574)-295-9355
Friday
6:00 am - 11:00 am
Saturday
Closed
Sunday
Closed