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Online Forms

Centennial Chiropractic Clinic 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 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 Form



Download the Free Adobe Reader®

Locations

Office Hours

Centennial Chiropractic Clinic

Monday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Tuesday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Friday:

8:00 am-12:00 pm

2:00 pm-5:00 pm

Saturday:

By Appointment

Sunday:

Closed

Testimonials

  • "Dr. Muzzana is the best! He's very informative on his treatments and also flexible with scheduling whether you are a new or established patient. He helped me through my auto accident in 2007 and guided me through what I needed to do to get back on my feet."
    Darice D. | Springfield, OR
  • "I would recommend coming to Centennial Chiropractic Clinic because they are nice and get you in with very little to no wait."
    Kris W.
  • "My experience at Centennial Chiropractic Clinic with Dr. Muzzana was 100% positive. He addressed all the issues that were causing me pain. After the treatments I no longer have knee, neck, and lower back pain. I would highly recommend Dr. Muzzana"
    Dolores R.