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Cleveland Low Back Pain Clinic 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 Intake Forms (Required)

This lets us know the history and current state of your spinal health.

Intake Form
Health History Form

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Download the Free AdobeReader®

New patients receive a FREE pain evaluation & exam if they mention this ad (regularly $ 189)

Sign-up using the form or call us at 440-232-4325 to take advantage of this exclusive offer.

THIS ---->https://bedforddecompression.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00am - 1:00pm3:00pm - 7:00pm
TuesdayClosed3:00pm - 7:00pm
Wednesday9:00am - 1:00pm3:00pm - 7:00pm
Thursday9:00am - 1:00pm3:00pm - 7:00pm
Friday9:00am - 1:00pmClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am - 1:00pm Closed 9:00am - 1:00pm 9:00am - 1:00pm 9:00am - 1:00pm Closed Closed
3:00pm - 7:00pm 3:00pm - 7:00pm 3:00pm - 7:00pm 3:00pm - 7:00pm Closed Closed Closed

Testimonial

I had a herniated disc and two bulging discs. Four plus years of lower back pain, pain down my right leg, and numbness in my right leg. I was unable to sleep. Now, I have 95% pain relief, able to sleep in bed all night and able to do more than a couple hours of light work. I am functioning normally again. The decompression therapy has been a real blessing for me.

William A.
Bedford, OH

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