New Patient Paperwork

Hiers Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office.

  • New Patient Intake Form

    Click to Complete

  • Pediatric Intake Form

    Click to Complete

  • Personal Injury/Motor Vehicle Accident New Patient Form

    Click to Complete

  • HIPAA Privacy Form

    Click to Complete

Monday
7:30am - 5:30pm


Tuesday
7:30am - 12:00pm


Wednesday
7:30am - 5:30pm


Thursday
7:30am - 5:00pm


Friday
7:30am - 11:00am


Saturday & Sunday
Closed

Hiers Chiropractic

4523 Park Rd A 102
Charlotte, NC 28209

(704) 919-0411