Online Forms

Dilworth Chiropractic and Wellness 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.

Adult - New Patient Forms

Child - New Patient Forms

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!



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301 E. Tremont Ave Suite C Charlotte, NC 28203

Office Hours

Our Regular Schedule

Monday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Tuesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Wednesday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Thursday:

9:00 am - 1:00 pm

3:00 pm - 6:00 pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "I had never visited a chiropractor before and didn't know what to expect. Dr. Stryker made me feel at ease. I kept a lot of stress built up in my neck and shoulders due to my job and the death of my husband. She helped to relieve this pain through adjustments.

    I did not realize the importance of keeping my body healthy through chiropractic care until I came under the care of Dr. Stryker. She always knew exactly where my problems were and adjusted them accordingly. I feel so much better mentally and physically under Dr. Stryker's care. She helped me to understand how important spinal care is to your whole being and wellness.

    I always refer my family and friends to Dr. Stryker. My son was having problems with his back. We went to medical doctors that could not find out his problem. So I sent him to Dr. Stryker and his back problems were gone after several adjustments. He was overjoyed and so was I. I also referred many teacher friends and they have also sung Dr. Stryker praises"
    Janis, 47

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