Howell Chiropractic offers our patient form(s) online so they can be completed it 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 Paperwork:

Welcome Page Front

Welcome Page Back

Authorization For Case Review 

Patient Consent

Terms of Acceptance 



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 office. You can print it out and bring it in to our office 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!

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3D Spine Simulator

3D Spine Simulator


Launch 3D Spine Simulator

Mon
8am to 6:30pm
Tue closed
Wed 8am to 6:30pm
Thu 8am to 6:30pm
Fri 8am to 6:30pm
Sat By Appointment
Sun Closed

Call Us:
937-558-2824
Request
Appt.

Contact

Howell Chiropractic
1311 East Stroop Road
Kettering, OH 45429
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  • Phone: 937-558-2824
  • Fax: 937-558-5679
  • Email Us