New Patient Paperwork

Razak Chiropractic 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.
  • Bring the necessary form(s) to your appointment.

OFFICE HOURS


Monday
By Appointment


Tuesday
9:00am - 1:00pm
2:00pm - 6:00pm


Wednesday
By Appointment


Thursday
9:00am - 1:00pm
2:00pm - 6:00pm


Friday
9:00am - 1:00pm
2:00pm - 6:00pm


Saturday
By Appointment


Sunday
Closed

Razak Chiropractic

1203 13th St Suite B
Ashland, KY 41101

(606) 393-0788