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(856) 354-5090 H
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(856) 354-5090

Online Forms

The Chiropractic office of Dr. Shari Saluck 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


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

HAPPY HOLIDAYS from all of us here at the office!

Orthotics Holiday SALE! 

ALL ORTHOTICS NOW ONLY $250 Mention code CHEERS! Now until 12/31 

And don't forget to use up your FLEX SPENDING before the end of the year!  Gift yourself with a soothing Chiro-Flow sleep pillow or heating pad:)

Please 'like' us on facebook for tips, tutorials, promos and MORE! Also check us out on Instagram!

Office Hours

DayMorningAfternoon
Monday9:15 - 11:301:45 - 7:00
TuesdayBy Emergencies Appt.By Emergencies Appt.
Wednesday9:15 - 11:301:45 - 7:00
Thursday9:3011:30 (By Appt.)
Friday9:15 - 11:301:45 - 6:30
SaturdayBy apptBy appt
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:15 - 11:30 By Emergencies Appt. 9:15 - 11:30 9:30 9:15 - 11:30 By appt Closed
1:45 - 7:00 By Emergencies Appt. 1:45 - 7:00 11:30 (By Appt.) 1:45 - 6:30 By appt Closed

We will be closed April 8 & 9