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Patient Forms

We understand that your time is valuable, and we strive to make your experience with us as efficient and convenient as possible. To help streamline your visit, we’ve provided access to our patient forms online. Please take a moment to complete these forms prior to your appointment to expedite the check-in process and ensure that we have all the necessary information to provide you with the best possible care.

If you’re visiting us for the first time, please download and complete our New Patient Form. This form includes important information about your medical history, current symptoms, and any previous treatments you may have received. By filling out this form in advance, you’ll spend less time in our waiting room and more time with your chiropractor during your appointment.

Protecting your privacy and confidentiality is one of our top priorities. Our HIPAA Privacy Notice outlines our commitment to safeguarding your personal health information and explains your rights under the Health Insurance Portability and Accountability Act (HIPAA). Please take a moment to review this important document before your appointment.

We may need to obtain copies of your records from other healthcare providers. To initiate the records request process, please complete the Records Request form with accurate and detailed information. This will help us efficiently locate and obtain your records in compliance with healthcare privacy regulations.

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Experience relief and recovery with All Health Chiropractic

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If you have any trouble downloading or completing our forms, or if you have any questions about your upcoming appointment, please don’t hesitate to contact us. We’re here to help make your experience with All Health Chiropractic as smooth and stress-free as possible.

We look forward to seeing you soon!

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Suffering from a Injury?

A man sits on the curb with his head down next to two collided cars in an accident.
Auto Injuries
A man in business professional has his right arm in an arm sling and holds a piece of paper.
Work Injuries
A foot in a cleat being sprayed with a medication for an injury while playing soccer.
Sports Injuries
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What Our Patients Have to Say

All Health Chiro has a friendly staff and a great team. As an attorney who primarily deals with injury cases, I am always looking for medical providers to help my clients get the treatment they need. I know with this team, my client will be in good hands. I trust them! Thanks guys!
David Fraley
The people that I’ve worked with at allhealth chiropractor in Bedford Heights Ohio are a great place to get started on your health. Everyone is so nice and polite and courteous. They are really concerned about their patients. They are great 👍
Robert Walker
I am humbly grateful to Dr. Qureshi and his incredible staff. I highly recommend All Health Chiropractic to anyone in need of pain relief. They show genuine care for the well-being of their clients. I wish I could give them more than 5 stars. In August, I went to the ER/UH for sciatica. I was treated by pain management doctors and physical therapy but my situation did not improve. It wasn’t until a friend recommended Dr. Qureshi at All Health Chiropractic that I got relief. He evaluated me and came up with a plan to help my condition considerably. Within a few sessions, I had significantly less pain and finally was able to start walking. After a couple more sessions I am walking without that darn cane. I can’t wait to get to where I used to be; however, I am not in pain and up-moving. I am tearing up as I am writing this because I appreciate your help so much. Dr. Qureshi and staff, YOU ALL ARE THE BEST! Also, the therapeutic massages are OMG simply wonderful!
Felicia A
When you come here, Dr. O treats you like family. He wants to help His family feel better and is amazing at it. I’ve been seeing Dr. O for almost 20 years, mainly for tune-ups, and have the utmost respect for what he has done for me. Thank you Dr. O.
D. L.

This place is wonderful and they treat you with the upmost respect. They actually are human beings and hold conversations with you …they take their time and make sure you’re feeling OK. They are very professional and friendly.

Kima Gill
Been coming to this place for a month now to treat my broken ankle. Very professional place and Dr. Arnitisis works with you to help get you back to 100% quickly.. I highly recommend choosing this place first if you have future rehab.
Jason Street
The staff is great and they really take care of you and help with your conditions.
Antoinette Hayes

Was treated here and had severe pain at times. The Doctors adjusted my spine in return it seems my body just feels better.

Rajbir Purewal

Wonderful experience, everyone was very professional and friendly

Willis

Friendly quick takes care of business.

Michelle E

Good help respectful place.

Willie Watkins

Great service.

Mark Hernandez