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New Patient Paperwork

East Coast Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.
OFFICE HOURS
Monday8:00am - 6:00pm
Tuesday8:30am - 5:00pm
Wednesday8:00am - 6:00pm
Thursday8:00am - 6:00pm
FridayClosed
SaturdayClosed
SundayClosed
Chiropractic Manchester NH East Coast Chiropractic Logo

East Coast Chiropractic
1361 Elm Street #200
Manchester, NH 03101
(603) 206-4346

Recommended Chiropractor

WHAT OUR PATIENTS SAY

“ECC is a caring and professional practice. All the staff provides individual attention and quality care. My physical wellness has improved 100% since beginning treatment. Their Chiropractic methodology has provided me with the treatment that has changed my life. I am literally pain free after over 15 years in pain!”

- Wendy M.

“I came to East Coast Chiropractic mostly for chronic headaches. I haven’t had a headache in 2 and ½ weeks now! I am more relaxed and less sensitive to noise. I would definitely recommend ECC to anyone!”

- Kevin K.

"Since coming to ECC for the past few months, I can move much easier and have a lot more energy. I am much happier not being frustrated and irritable from the pain all the time. I would absolutely recommend that others get help from East Coast Chiropractic. Thanks for making me feel better!”

- Diane S.

Recommended Chiropractor - White

1361 Elm Street #200

Manchester, NH 03101