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New Patient Intake Form

Are you a new patient of Deimler Chiropractic? Please fill out these new patient form for either your chiropractor or dietician appointment.

New Patient Intake 2025

Newport
Location

223 Mulberry Street
Newport, PA 17074

Get Directions

Millersburg
Location

1345 US-209
Millersburg, PA 17061

Get Directions

Contact
Us

Newport: (717) 567-3158
Millersburg: (717) 567-3158

Message Us

Our Hours

Newport
Mon: 7AM - 3PM
Tues, Wed, Thurs: 12PM - 8PM
Fri: 8AM - 4PM

Millersburg
Mon, Tues, Thurs: 8AM - 7PM

Healthy Living Starts Here
Insights on Chiropractic & Nutrition