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Practice Name

Circle Chiropractic Center, PC

Social Media
Primary Location
9526 Lee Hwy
Fairfax, VA 22031
Phone: 703-385-2990
Fax: 703-385-1657

Office Hours

Day
Monday8:30am5:30pm
TuesdayClosedClosed
Wednesday8:30am5:30pm
Thursday2:00pm5:30pm
Friday7:30am3:30pm
Saturday9:00am11:30am
SundayClosedClosed
Main Content

Fairfax Chiropractic Online Forms

Circle Chiropractic Center, PC 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
and Examination Form

---REQUIRED---
(2 forms front and back, please download both front and back)

Click the link below to download and print the
New Patient History Form.

Click the links below for the front and back of the
New Patient Examination Paperwork.

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

3D Spine Simulator

 
Launch
 3D Spine Simulator


Office Hours:

Day
Monday8:30am5:30pm
TuesdayClosedClosed
Wednesday8:30am5:30pm
Thursday2:00pm5:30pm
Friday7:30am3:30pm
Saturday9:00am11:30am
SundayClosedClosed

Client Testimonial

I maintain a grueling schedule with the Department of Defense. My neck pain is controlled with periodic adjustments (once every 3-4 weeks). This keeps me comfortable with my work and exercise schedule.

-Bill Mills


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Online Forms

Circle Chiropractic Center, PC offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Circle Chiropractic Center, PC
9526 Lee Hwy
Fairfax, VA 22031
Get Directions
 
  • Phone: 703-385-2990
  • Fax: 703-385-1657
  • Email Us

Office Hours

Day
Monday8:30am5:30pm
TuesdayClosedClosed
Wednesday8:30am5:30pm
Thursday2:00pm5:30pm
Friday7:30am3:30pm
Saturday9:00am11:30am
SundayClosedClosed

Holiday Hours

We are close on Monday 12/25 and Monday 1/1

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