Online Registration
If you are a new patient or a patient that needs to update information please complete all questions on the online registration.
Click Here To Register (opens in a new tab)New patients
Patient Forms
New patients can register online and download forms before their first visit to Colchester Family Chiropractic. Online registration does not book an appointment — call (860) 537-0086 to schedule.
Please note: Filling out online registration does not make you an appointment. You must call the office directly to schedule an appointment. (860) 537-0086
These are forms for you, the patient, to bring to your appointment. Please follow the directions for each. Please fill out each document prior to your appointment.
Demographic and Assignment of Benefits
Please fill this out for your first appointment in our office and for each new year. This document needs to be updated each year. Please initial each line. If you have a question, bring it into your appointment and review it with our office staff.
Demographic and Assignment of BenefitsReview of Systems
This document is only needed for your first visit. Please check either yes or no for each field. If we need you to update this document, we will inform you.
Review of SystemsPermission to Bill for Orthotics
This document gives us permission to send the billing codes for orthotics to your insurance.
Permission to Bill for OrthoticsVisit
Office hours & how to reach us
Find us near the center of town
- Located at79 Norwich Ave, Suite A, Colchester, CT 06415
- Office number(860) 537-0086
- Office fax(860) 537-6339
- E-mailcfc@comcast.net
Office hours
| Monday | 9:00am–5:00pm |
|---|---|
| Tuesday | 8:30am–12:00pm |
| Wednesday | 9:00am–5:00pm |
| Thursday | 3:00pm–6:00pmAlternating |
| Friday | 9:00am–5:00pm |
| Saturday | 9:00am–12:00pmAlternating |
| Sunday | Closed |
Updated: 11/12/2025
We are providers for
- Medicare and State retirees
- Aetna Medicare (no referral needed)
- Regular AETNA
- Anthem Blue Cross/Blue Shield
- United Health Care
- Workers Comp/Personal Injury
- ChiroHealth USA (for cash discounts)
Updated: 11/12/2025
Registered? Now call to book.
Online registration does not make you an appointment.