Accessibility View Close toolbar

Primary Location

4250 N. High Street

Columbus, OH 43214

614-586-0024

614-586-0401

Online Forms

Synergy Chiropractic Wellness Clinic offers our patient form(s) online so they can be completed 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 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!

Download & Print Form

Please download, print, and fill out one of the forms below

Neck Pain Form

Low Back Pain Form

Upper Extremity Form

Lower Extremity Form

Misc Forms:

Quick Dash

Back Screening Tool

Back Questionnaire (FABQ)

Bournemouth Questionnaire (Back)

Bournemouth Questionnaire(Neck)

Tampa Scale-11 (TSK-11)

Yellow Flags Questionnaire (YFQ



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

9:00am - 1:00pm

3:00pm - 7:00pm

Tuesday:

9:00am - 1:00pm

3:00pm - 7:00pm

Wednesday:

9:00am - 1:00pm

3:00pm - 7:00pm

Thursday:

9:00am - 1:00pm

3:00pm - 7:00pm

Friday:

9:00am - 1:00pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed