Online Forms

Westmoreland Chiropractic & Rehab Associates offers our patient form(s) online so you can complete it 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.

New Patient Form - Required

Fill out form


Confidential Client Questionnaire (Nutritional Patients Only)

Download & Print Form 


Health Appraisal Questionnaire (Nutritional Patients Only)

Download & Print Form



Download the Free AdobeReader®

Our Locations

Choose the Location Nearest You

Office Hours

Our Regular Schedule

Greensburg

Monday:

9:00 am-7:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

1:00 pm-7:00 pm

Friday:

9:00 am-6:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed

Export / Mamont

Monday:

10:00 am-7:00 pm

Tuesday:

2:30 pm-7:00 pm

Wednesday:

10:00 am-7:00 pm

Thursday:

11:00 am-7:00 pm

Friday:

10:00 am-7:00 pm

Saturday:

9:00 am-1:00 pm

Sunday:

Closed