Accessibility View Close toolbar

Online Forms

Rhode Island Chiropractic Pain Control Clinic 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 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



Download the Free AdobeReader®

Rhode Island Chiropractic Pain Control Clinic
371 Broadway Providence RI 02909
Phone: 401-274-9355 Fax: 401-455-0446

1524 Atwood Avenue Johnston RI 02919
Phone: 401-274-9355 Fax: 401-455-0290

197 Taunton Avenue East Providence RI 02914
Phone: 401-435-4999 Fax: 401-434-7772

586 Dexter Street Central Falls RI 02863
Phone: 401-729-4500 Fax: 401-723-0008

Locations

Find us on the map

Office Hours

Our Regular Schedule

Johnston Office

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

Providence Office

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

Closed

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed

East Providence

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

Closed

Friday:

9:00 am-1:00 pm

Closed

Saturday:

Closed

Sunday:

Closed

Central Falls

Monday:

Closed

Tuesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

Closed

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "A few months ago I suffered injuries as a result of a car accident. The Doctors and staff at Rhode Island Chiropractic were able to alleviate my lower back pain which allowed me to return to my normal daily activities. The Doctors and staff were very helpful and pleasant during this difficult time which made my path to recovery much less painful!"
    Scott, 48, Providence RI