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Contact Us and Request An Appointment

Name*

Email Address*

Message*

To request an appointment, please fill in the form on this page and we will email or text you a Confirmation page or an Alternate Appointment page within one hour of submission.


ALL VISITS ARE BY APPOINTMENT ONLY!


OFFICE HOURS: 


Monday to Thursday

10:00 AM-6:30 PM

Friday

10:00 AM-1:00 PM

APPOINTMENT REQUEST:

NEW CHIROPRACTIC PATIENT PLEASEM CHOOSE TWO DAYS AND TIMES !


Please add to your request:

1. Phone number

2. Date/Day Requested (see choices above)

3. Time Requested (see choices above)

4. Insurance Plan


* You will also be emailed a copy of our New Patient Forms.

**You may also use this form to ask a question of the doctor.

GPS ADDRESS: 2030  W. Tilghman Street Allentowwn PA 18104

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