New Patient Paperwork

Pustaver Chiropractic Care 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.
  • Patient Intro Card

    Click to Download

  • Patient Health Questionnaire

    Click to Download

  • Functional Rating Index

    Click to Download

  • Consent to Treat

    Click to Download

  • Authorizations and Release Form

    Click to Download

Monday
9:00am - 12:30pm
2:30pm - 5:30pm


Tuesday
9:00am - 12:30pm
2:30pm - 5:30pm


Wednesday
9:00am - 12:30pm
2:30pm - 5:30pm


Thursday
9:00am - 12:30pm
2:30pm - 5:30pm


Friday
Closed


Saturday & Sunday
Closed

Pustaver Chiropractic Care

4213 Matthews-Mint Hill Rd
Matthews, NC 28105

(704) 573-2400
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