Online Forms

American Back Center offers our patient form(s) online so they can be completed in the convenience of your own home or 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

Patient Intake Form - English

Download & Print Form

Patient Intake Form - Spanish

Download & Print Form


Download the Free Adobe Reader®

Our Location

Hours of Operation

Monday

7:45 am - 11:00 am

12:00 pm - 4:00 pm

Tuesday

11:00 am - 2:00 pm

3:00 pm - 7:00 pm

Wednesday

by Appointment ONLY

Thursday

11:00 am - 2:00 pm

3:00 pm - 7:00 pm

Friday

7:45 am - 2:00 pm

Saturday

Closed

Sunday

Closed

Monday
7:45 am - 11:00 am 12:00 pm - 4:00 pm
Tuesday
11:00 am - 2:00 pm 3:00 pm - 7:00 pm
Wednesday
by Appointment ONLY
Thursday
11:00 am - 2:00 pm 3:00 pm - 7:00 pm
Friday
7:45 am - 2:00 pm
Saturday
Closed
Sunday
Closed