Intake Paperwork

The patient process at Modern Chiropractic Company begins with filling out new patient intake paperwork. You can download and print off the intake paperwork online by clicking on the desired button below. Please fill out all paperwork as completely as possible and sign all forms. This will also save you about 20 minutes when you first arrive at the practice.

ADDRESS, CONTACT INFO

& HOURS

Located at:
670 N 54th Street Suite 1,
Chandler, AZ 85226

phone number: (480) 701 – 8201
email: info@modernchiroaz.com

Monday: 10:00 am – 11:00 am, 1:00 pm  – 6:00 pm
Tuesday: 3:00 pm  – 6:00 pm
Wednesday: 10:00 am – 1:00 pm, 3:00 pm  – 6:00 pm
Thursday: 10:00 am – 1:00 pm, 3:00 pm  – 6:00 pm
Friday – Sunday: Closed

Modern Chiropractic Company is a family-centered, technology-driven, neurologically-based chiropractic clinic in Chandler, Arizona. We are also proud to serve surrounding communities including Ahwatukee, Tempe, Phoenix, Gilbert, and Mesa.