Online Forms

Shoreline 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.

New Patient Health History Form - Required

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 Basic Intake Form

Download & Print Personal Injury Form

Fill Out Form Online



Download the Free AdobeReader®

Location

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Office Hours

Monday:

9am-12pm and 2pm-7pm

Tuesday:

Closed

Wednesday:

9am-12pm and 2pm-7pm

Thursday:

2pm-7pm

Friday:

9am-1pm

Saturday:

Closed

Sunday:

Closed

  • "From Dr. Hudak right throughout the entire staff…The Best !!!"
    Craig K.
  • "I went to chiropractic care because I was in terrible pain in my lower back. I was having this issue for about three months, then I saw an orthopedic doctor but was not a surgery candidate. I then had some physical therapy but unfortunately it did not help and I was told to change my line of work. I had to change from full time to modified duty at work because my job is very physical. All I was able to do was lay in bed if I was not at work most of the day, I had pain walking and pain sitting. I started chiropractic care and I had relief within the first week (2-3 visits). I've never seen a chiropractor before so I didn't know what to expect, but now I am back to work with no limitations. My advice to you would be that it works on so many conditions and Dr. Hudak is fantastic!! You would be in great hands because his staff is terrific, warm and inviting. I look forward to all of my appointments now."
    Pamela T.
  • "I came into Shoreline Chiropractic with extreme back pain. Since I started to go to Dr. John Hudak, my pain has almost completely gone away. My advice that I would give to people who are new to chiropractic care is that it really works and also to stick with the treatment."
    Michael B.