Switch to Main Site
Practice Name

Foundation Chiropractic Clinic

Social Media
Primary Location
1515 S Byrne Rd Ste #106
Toledo, OH 43614
Phone: (419) 389-1721

Office Hours

DayMorningAfternoon
Monday9:00 - 12:002:00 - 6:00
TuesdayBy Appt.By Appt.
Wednesday9:00 - 12:002:00 - 6:00
ThursdayBy Appt.By Appt.
Friday9:00 - 12:002:00 - 6:00
SaturdayClosedClosed
SundayClosedClosed
Main Content

Foundation 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

Download & Print Form


Intake Form - Required

Download & Print Form Page 2


Low back pain - Required

Download & Print Form


Pain drawing - Required

Download & Print Form


Neck pain - Required

Download & Print Form


Professional Image - Required

Download & Print Form


Financial Policies - Required

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


Download the Free AdobeReader®

Request Appointment

Request an Appointment Today

Request an appointment using the form below or call us at (419) 389-1721 

Name: *
Email: *
Phone: *
 

Patient Reviews

We invite you to check out what our patients have to say about our clinic.  See what other people like you had to say about us!  

CLICK HERE TO SEE

Follow Us

Call today: (419) 389-1721

Request an Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Now

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Contact

Foundation Chiropractic Clinic
1515 S Byrne Rd Ste #106
Toledo, OH 43614
Get Directions
 
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions

Office Hours

DayMorningAfternoon
Monday9:00 - 12:002:00 - 6:00
TuesdayBy Appt.By Appt.
Wednesday9:00 - 12:002:00 - 6:00
ThursdayBy Appt.By Appt.
Friday9:00 - 12:002:00 - 6:00
SaturdayClosedClosed
SundayClosedClosed

Massage Therapy By Appointment on Tuesdays and Thursdays.

Newsletter

Newsletter Sign Up










Community Content