New Patient Paperwork

Jafari Chiropractic a Palmercare Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
8:00am - 12:00pm
3:00pm - 7:00pm


Tuesday
8:00am - 11:00am


Wednesday
2:00pm - 6:00pm


Thursday
Closed


Friday
9:00am - 12:00pm
1:00pm - 5:00pm


Saturday
8:00am - 11:00am

Jafari Chiropractic a Palmercare Clinic
711 Borden Road
Cheektowaga, NY 14227
(716) 668-8108