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724-325-2112 H
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724-325-2112

Online Forms

Westmoreland Chiropractic & Rehab Associates offers our patient form(s) online so you can complete it 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 - Required

This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speeding up your office visit and allowing us to better serve your healthcare needs.


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Confidential Client Questionnaire

Download & Print Form 


Health Appraisal Questionnaire

Download & Print Form



Download the Free AdobeReader®

Sign up using the form below or call 724-325-2112 to make an appointment.

Office Hours

Export/Mamont Office Hours

Day
Monday10:00 am7:00 pm
Tuesday10:00 am7:00 pm
Wednesday10:00 am7:00 pm
Thursday12:00 pm7:00 pm
Friday10:00 am7:00 pm
Saturday9:00 am1:00 pm
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10:00 am 10:00 am 10:00 am 12:00 pm 10:00 am 9:00 am Closed
7:00 pm 7:00 pm 7:00 pm 7:00 pm 7:00 pm 1:00 pm Closed

Call Us 724-325-2112

600 S Main Street Greensburg Office Hours

Day Hours Hours
Monday 9:00 - 12:00 pm 3:00 - 7:00 pm
Tuesday 2:00 pm 6:00 pm
Wednesday 9:00 - 12:00 pm 3:00 - 7:00 pm
Thursday 1:00 pm 7:00 pm
Friday 9:00 am 6:00 pm
Saturday 9:00 am 11:00 am
Sunday Closed Closed

Call Us 724-216-5004

600 S Main Street Greensburg Office Hours

Day AM PM
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM 9:00 - 12:00 pm 2:00 pm 9:00 - 12:00 pm 1:00 pm 9:00 am 9:00 am Closed
PM 3:00 - 7:00 pm 6:00 pm 3:00 - 7:00 pm 7:00 pm 6:00 pm 11:00 am Closed

Call Us 724-216-5004

Oakley Park Greensburg Office Hours

Day Hours Hours
Monday 3:00 pm 6:00 pm
Tuesday Closed Closed
Wednesday 12:00 pm 6:00 pm
Thursday Closed Closed 
Friday 11:00 am 3:00 pm
Saturday Closed Closed
Sunday Closed Closed

Call Us 724-838-1810

Oakley Park Greensburg Office Hours

Day AM PM
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
AM 3:00 pm Closed 12:00 pm Closed 11:00 am Closed Closed
PM 6:00 pm Closed 6:00 pm Closed 3:00 pm Closed Closed

Call Us 724-838-1810