New Patient Paperwork

Edward A. Bauchou Jr., DC offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
9:30am - 12:30pm
3:00pm - 6:00pm


Tuesday
9:30am - 12:30pm
3:00pm - 6:00pm


Wednesday
9:30am - 12:30pm
3:00pm - 6:00pm


Thursday
9:30am - 12:30pm
3:00pm - 6:00pm


Friday
9:30am - 11:00am


Saturday
Closed

Edward Bauchou Chiropractic, DC
7724 Timberlake Rd
Lynchburg, VA 24502
(434) 237-4831