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Practice Name

Community Chiropractic

Primary Location
85 Manchester Street
Concord, NH 03301
Phone: 603-229-0021
Fax: 603-229-0051

Office Hours

DayMorningAfternoon
Monday8 - 113 - 6
TuesdayClosed3 - 6
Wednesday8 - 113 - 6
Thursday8 - 113 - 6
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Main Content

Community Chiropractic 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.

Case History Form

Download & Print Form

Electronic Health Records Form

Download & Print Form


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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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



Download the Free AdobeReader®

Exclusive Offer

Sign up now for a complete new patient evaluation with x-rays for $25!

Sign-up using the form or call us at 603-229-0021 to take advantage of this exclusive offer.

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Testimonials

My visit to Dr. Sam's is always a great experience! I am always greeted in a very friendly manner. My wait is always minimal. Dr. Sam does a great job adjusting me! I always feel better when I leave! 
Thanks, Dr. Sam!

Katherine L. -
Concord, NH

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Our Services

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

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Contact

Community Chiropractic
85 Manchester Street
Concord, NH 03301
Get Directions
 
  • Phone: 603-229-0021
  • Fax: 603-229-0051
  • Email Us
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Office Hours

DayMorningAfternoon
Monday8 - 113 - 6
TuesdayClosed3 - 6
Wednesday8 - 113 - 6
Thursday8 - 113 - 6
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Newsletter

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Community Content