Legacy Wellness & Chiropractic
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Schedule Now

New Patients: Text "Day 1" to 717-657-1620 or e-mail [email protected] 

Established Patients: Text "schedule" to 717-657-1620 or e-mail [email protected]




New Patient Office Forms:
Download the following: Informed Consent, HIPPA Form, Payment Policy, & Appropriate Packet.
After downloaded, complete the information and e-mail to [email protected] or bring to your appointment.
informed_consent_form.pdf
File Size: 566 kb
File Type: pdf
Download File

hippa_form.pdf
File Size: 606 kb
File Type: pdf
Download File

payment_policy.docx.pdf
File Size: 43 kb
File Type: pdf
Download File

adult_intake_form.pdf
File Size: 1764 kb
File Type: pdf
Download File

pregnancy_patient_form.pdf
File Size: 1873 kb
File Type: pdf
Download File

pediatric_patient_form.pdf
File Size: 1520 kb
File Type: pdf
Download File

Live your Life, Create your Legacy!

To Schedule / Contact
Text/Call/Voicemail: (717) 657-1620  
​Email: [email protected]

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Office Hours:
Monday 9-12 & 3-6
Wednesday 9-12 & 3-6
Thursday 1-7

Friday 9-12

Location: 
​
2209 Forest Hills Drive Suite 22 Harrisburg, PA 17112   
 

  • Home
  • Meet the Doctor
  • Services
  • Helpful Info
  • Privacy Policy
  • New Patients