Online Forms

Universal Chiropractic P.C. 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

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!

Fill Out Form Online

Download & Print Form


New Children's Patient Form

Fill Out Form Online

Download & Print Form


Download the Free Adobe Reader®

Where To Find Us

Office Hours

West Seneca Location

Monday

8:00 am - 6:00 pm

Tuesday

8:00 am - 7:00 pm

Wednesday

8:00 am - 6:00 pm

Thursday

8:00 am - 6:00 pm

Friday

8:00 am - 6:00 pm

Saturday

8:00 am - 1:00 pm

Sunday

Closed

South Buffalo Location

Monday

Closed

Tuesday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Wednesday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday

9:00 am - 12:00 pm

2:00 pm - 6:00 pm

Friday

9:00 am - 12:00 pm

Saturday

Closed

Sunday

Closed

West Seneca Location

Monday
8:00 am - 6:00 pm
Tuesday
8:00 am - 7:00 pm
Wednesday
8:00 am - 6:00 pm
Thursday
8:00 am - 6:00 pm
Friday
8:00 am - 6:00 pm
Saturday
8:00 am - 1:00 pm
Sunday
Closed

South Buffalo Location

Monday
Closed
Tuesday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Wednesday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Thursday
9:00 am - 12:00 pm 2:00 pm - 6:00 pm
Friday
9:00 am - 12:00 pm
Saturday
Closed
Sunday
Closed