Online Forms

Able Hands Chiropractic 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. After you have called to make your appointment please fill out the forms below.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), fill in the required information online and submit when complete. 
  • INSURANCE INFORMATION MUST BE ENTERED INTO THE INTAKE PAPERWORK : Subscriber Name DOB and ID # 

Please do not print the forms out. The information needs to be loaded directly into our software. 


New Patient Health History Form -Required at least 24 hours prior to your Exam

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!  You can fill this form out on any PC, Laptop, Tablet or Smartphone! 

Before your appointment,  please check with your insurance company to understand your coverage for chiropractic care (some insurance companies consider Chiropractic a specialty and may require a referral and/or Authorization for care) Please have all of that information prior to your first appointment. If your plan requires a referral you must get that from your PCP prior to your initial exam.

Please be aware that we currently are NOT taking motor vehicle or workers comp cases.

****Please be aware that there are a few additional forms to sign once you arrive, please come 5-10 minutes before your scheduled appointment.  Also, bring a list of your current medications/supplements. Thank you.

           Intake Form

If for whatever reason you are unable to fill out the forms please come in 20 minutes prior to your scheduled appointment time.




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Locations

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Chiropractic Office Hours

Monday:

9:00 am-12:00 pm

2:00 PM-5:00 PM

Tuesday:

Closed

Wednesday:

9:00 am-12:00 pm

2:00 pm-5:00 pm

Thursday:

Closed

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Jaime is my forever Chiro! I wouldn't go anywhere else. She's gentle but effective, and NOT rushed like other chiropractors seem to be. She's warm, kind and genuinely caring. My son and husband go to Dr. Jaime also and love her. We wouldn't trust anyone else. Very highly recommended. Dr. Lemek."
    Sarah K. - Manchester, CT