New Patient Paperwork

Lipinski 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.
  • Patient Intake Form

    Click to Download

Monday
7:30am - 11:00am
2:00pm - 6:30pm


Tuesday
10:00am - 2:00pm


Wednesday
7:30am - 11:00am
2:00pm - 6:30pm


Thursday
7:30am - 11:00am
2:00pm - 6:30pm


Friday
Closed


Saturday & Sunday
Closed

Lipinski Chiropractic

182 Thomas Johnson Dr #201
Frederick, MD 21702

(301) 620-7111