office hours
  Morning Afternoon
M8:30am - 12:30pm3:30pm - 7:30pm
T---3:30pm - 7:30pm
W8:30am - 12:30pm3:30pm - 7:30pm
T8:30am - 12:30pm3:30pm - 7:30pm
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Call Today:
(717) 569-5731 | (717) 806-5329
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(717) 569-5731 | (717) 806-5329

Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home.



Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form


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Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




George's Chiropractic Health Center
Lancaster Office : 1676 Manheim Pike, Lancaster, PA | (717) 569-5731
Quarryville Office : 18C Furnace Rd, Quarryville, PA 17503 | (717) 806-5329