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Online Forms

Colonia Spine & Wellness Center 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.

Electronic Health Records Intake Form 

Download & Print Form


Colonia Spine & Wellness Center Privacy Notice 

Download & Print Form


Payment Agreement Notice 

Download & Print Form


Release of Records  

Download & Print Form


Chiropractic Registration and History

Download & Print Form


Download the Free Adobe Reader®

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CONTACT US TODAY

We look forward to hearing from you

Locations

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Office Hours

Our Regular Schedule

Colonia Spine & Wellness Center

Monday:

9:30 am-1:00 pm

3:00 pm-7:00 pm

Tuesday:

9:30 am-1:00 pm

3:00 pm-7:00 pm

Wednesday:

3:00 pm-7:00 pm

Thursday:

9:30 am-1:00 pm

3:00 pm-7:00 pm

Friday:

9:30 am-1:00 pm

1:30 pm-5:00 pm

Saturday:

8:30 am-11:30 am

Sunday:

Closed