Switch to Main Site
Practice Name

Hornickel Chiropractic Center

Primary Location
132 E. Maiden St
Washington, PA 15301
Phone: 724- 228-8600
Fax: 724-228-8900

Office Hours

DayMorningAfternoon
Monday9 - 13 - 6
Tuesday94
Wednesday9 - 13 - 6
ThursdayClosedClosed
Friday9 - 13 - 6
SaturdayBy Appt.Closed
SundayClosedClosed
Main Content

Hornickel Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Pain Index Form

Download & Print Form


Personal Injury Questionnaire (Auto Accident or Worker's Comp Only)

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form

 



Download the Free AdobeReader®

 

Exclusive Offer

New patients receive FREE consultation.*($110 value!) *Does not apply to patients with Medicare insurance.

Sign-up using the form or call us at 724- 228-8600.

Name: *
Email: *
Phone: *

Our Services


Services We strive to provide complete care for our patients. Learn more about all the services we provide.
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!

Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Testimonials

I have benefited tremendously from the chiropractic care I received from Dr. Hornickel.

John Doe / Washington, PA

Office Hours

DayMorningAfternoon
Monday9 - 13 - 6
Tuesday94
Wednesday9 - 13 - 6
ThursdayClosedClosed
Friday9 - 13 - 6
SaturdayBy Appt.Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9 - 1 9 9 - 1 Closed 9 - 1 By Appt. Closed
3 - 6 4 3 - 6 Closed 3 - 6 Closed Closed

Follow Us

Newsletter

Newsletter Sign Up










Community Content