Header image  
JACK KOHL, DC  
614-861-6222     7323 EAST MAIN STREET     REYNOLDSBURG     OH     43068
 
 
 
 
 

 
 
New Patient Appointments & Forms


Reynoldsburg Chiropractic is currently accepting new patients.

If you have not scheduled an appointment, you may request an appointment 24/7. Call our 24-hour message and scheduling phone - 614-861-6222. Or, e-mail your request for an appointment - Click Here for Email Appointment Request. After hours appointments are available for emergencies.

To save yourself some time, click below to print forms to fill out and bring with you on your first appointment with the doctor.

Proper paperwork and documentation is a very necessary part of taking care of our patients. We document, first, so that we can take appropriate care of our patients and, second, so we can provide information to third party payors for medical necessity purposes.

Please click on the link below which corresponds to your payment type to get the forms needed for your initial visit in our office.

HEALTH INSURANCE OR SELF-PAYING PATIENT FORMS

PERSONAL INJURY PATIENT FORMS

BWC PATIENT FORMS

MEDICARE PATIENT FORMS