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Estadt Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Registration Form - Required

Download & Print Form

Neck Disability Index - English

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Neck Disability Index - Spanish

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Low Back Disability Index - English

Download & Print Form

Low Back Disability Index - Spanish

Download & Print Form


Member Wellness Registration Form - Optional

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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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


HIPAA privacy policy

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Download the Free AdobeReader®

Sign up using the form or call (440) 255-1315 to make your appointment.

THIS ---->https://drestadtcom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday8am6pm
Tuesday8am6pm
Wednesday8am6pm
Thursday8am6pm
Friday8am6pm
Saturday8:30am11am*
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am 8am 8am 8am 8am 8:30am Closed
6pm 6pm 6pm 6pm 6pm 11am* Closed
*We will be closed Saturday June 24th  

Testimonial

Excellent treatment and always a very welcoming experience by everyone in the office.

Terry W.
Mentor, OH

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