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Online Forms

Delmarva Chiropractic and Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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

Download Intake Form

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!


New Patient Auto Accident Form

Download Auto Intake Form


New Patient Nutritional Counseling Form

Download Nutrition Intake Form


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Featured Services

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Office Hours

Our Regular Schedule

Monday:

8:00 AM

6:00 PM

Tuesday:

Closed

Wednesday:

8:00 AM

6:00 PM

Thursday:

Closed

Friday:

8:00 AM

6:00 PM

Saturday:

Closed

Sunday:

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "Chiropractic Gives an Airmen His Life Back

    After 2 long years of having extreme back pain and being told by many doctors that it would be something that I would have to learn to live with, I made the choice to give Dr. Riggin a chance at giving me my life back. I have been to see Dr. Riggin about 7 times now and I feel much better now that he has reduced my pain to almost nothing and I am now able to get out and enjoy time on the boat with my wife and little girl. Two years ago today I was not even able to pick my little girl up and hold her but now thanks to Dr. Riggin I have been able to enjoy my life like I used too. I am very thankful that I chose to see Dr. Riggin because he is very knowledgeable in his field."
    -SSgt Stutts

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