Ollis Chiropractic 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 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.

Intake and Assessment Forms - ***Required***

Confidential Patient Form ***

Terms of Acceptance
***

Case History Form ***


Questionnaires

Please download, print and complete the form(s) that apply to your next visit

Low Back Questionnaire

Neck Questionnaire

Elbow Pain Questionnaire 

Foot-Ankle Pain Questionnaire

Headache Pain Questionnaire

Hip Pain Questionnaire

Knee Pain Questionnaire

Mid Back Pain Questionnaire

TMJ Pain Questionnaire

Shoulder Pain Questionnaire

Neck Pain Disability Index Questionnaire

Contact Us!

Ollis Chiropractic

Mellwood Arts Center
1860 Mellwood Ave
Louisville, KY 40206
Get Directions

 East End Location
10000 Brownsboro Road Ste 3
Louisville, KY 40241
Get Directions

Phone: 502-653-8288



Request an Appointment at Ollis Chiropractic

Or Visit Us At Our Other Convenient Location:

1305 Veterans Parkway Suite 900
Clarksville, IN 47129 
Get Directions

Phone: 812-406-0612

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Office Hours

East End Location

Day Morning Afternoon
Mon 9:00 - 12:30 3:30 - 6:00
Tue 9:00 - 12:30 3:30 - 6:00
Wed 9:00 - 12:30 3:30 - 6:00
Thu 9:00 - 12:30 3:30 - 6:00
Fri Closed. Closed
Sat Closed. Closed
Sun Closed Closed


Mellwood Arts Center

Day Morning Afternoon
Fri By Appointment By Appointment

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