Online Forms

Fairfield Family Chiropractic, LLC offers our patient form(s) online so they can be completed 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 forms, print it out and fill in the required information.
  • Fax us your printed and completed forms or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Patient Intake Form Download & Print Form 

Treatment Consent Form Download & Print Form

Medical Release Form Download & Print Form



Download the Free AdobeReader®

Locations

Office Hours

Our Regular Schedule

Monday:

3/16: 9:00am

7:00pm

Tuesday:

3/17: 9:00am

1:00pm

Wednesday:

3/18: 2:00pm

9:00pm

Thursday:

3/19: 9:00am

1:00pm

Friday:

3/20: 9:00am

7:00pm

Saturday:

3/21: 9:00am

12:00pm

Sunday:

3/22: CLOSED

CLOSED

Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Doug is definitely the best chiropractor I ever went to in my life. I usually tense up when it comes time to cracking my neck, but I was so at ease with Dr. Doug, he cracked it effortlessly.

    He really takes his time with you and is a very caring, personable doctor. He got me out of my pain and I slept like a baby.

    I'd also have to add how nice and clean the office is. The magazines are organized better than a library. They play great music in the reception area. And the office manager, Emily, is a sweetheart. She's very friendly; and fast and efficient when it comes to checking your insurance.

    I'm so happy I found this place!"
    Maryanne Christiano-Mistretta / Facebook Reviews
  • "The entire staff is friendly, efficient, helpful, accommodating. Dr. Torrisi is possibly the most patient doctor on the planet. At the risk of sounding too dramatic, his treatment has been life changing. Perhaps the LEAST remarkable thing he has done is cure 20 years of chronic migraines, but there has been a steady decrease in pain and an increase in mobility under his care. Truly amazingly positive results."
    Laura Schiffenhaus / Facebook Reviews