Here at East Earl 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 (717) 354-2332.


Click on the link below to fill out your intake paperwork at your convenience.

Complete New Patient Paperwork
Application for Care

At the end, click the SUBMIT button, and our staff will receive your paperwork and will contact you shortly to schedule your appointment.