Here at Melsha Chiropractic, we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!
If you have any questions regarding your first visit, please don’t hesitate to call us at (610) 527-9440.
New Patient Form – Download & Print Form
If you do not have AdobeReader® installed on your computer, Click Here To Download.
Our office does not participate in any third party insurance programs. We do accept auto accident and workers compensation cases. To find out if your insurance covers chiropractic care with out-of-network benefits, you can call Dr. Jill Melsha directly or schedule your free consultation at (610) 527-9440. We offer everyone a free no obligation consultation.