New Patient Paperwork

Modern Chiropractic offers our patient form online so it can be completed in the convenience of your own home or office.

  • Patient Intake Form

    Click to Complete

OFFICE HOURS

Monday
8:30am - 5:30pm

Tuesday
8:30am - 5:30pm

Wednesday
Closed

Thursday
8:30am - 5:30pm

Friday
7:30am - 11:30am

Saturday & Sunday
Closed

Open for Massage & Treatment
During Business Hours

Modern Chiropractic

318 Bertrand Dr #101
Lafayette, LA 70506

(337) 889-5820