Intake Forms
Please save or download the form, then open the PDF file on your computer and fill in all the requested fields. Print the completed form and bring to your appointment and also email the completed form to
New patients, same-day and emergency appointments are often available.
Call our office to check availability.
To fill out the intake forms on your phone
just use these links
to download Google Drive
then open the downloaded file:
Hours & location
Chiropractic & Wellness Center of New Haven
59 Elm Street, Suite 100
New Haven, CT 06510
Phone: 203-909-6173
We are located in New Haven, convenient to Downtown New Haven near Yale University. Parking is available parking information: https://chiropracticnewhaven.com/parking/.
Office hours
Mon: 7:00 AM – 12:00 PM | 3:00 PM – 7:00 PM
Tue: 7:00 AM – 12:00 PM | 3:00 PM – 7:00 PM
Wed: 7:00 AM – 12:00 PM | 3:00 PM – 7:00 PM
Thu: Closed
Fri: 7:00 AM – 12:00 PM | 3:00 PM – 7:00 PM
Sat: Closed
Sun: Closed
Hours are subject to change for holidays or special circumstances. Please call to confirm availability.
New patients
We welcome new patients and will let you know what to expect at your first visit, including paperwork, examination, and any recommended imaging or referrals if needed.
If you have questions about insurance or fees, please call the office and our staff will be happy to help.