New Patient Forms

Call or Text Us:  419.782.2272

If you are a new patient without health insurance, you will only need the patient information paperwork. If you are a new patient with health insurance, you will need patient information and patient insurance information.

Everybody Needs "A. Little Chiropractic."

Sports Physical

A. Little Chiropractic Center

​Effective August 1st, 2017 any student athlete who's biological parent, biological sibling, or biological child has previously experienced sudden cardiac arrest must be evaluated by an MD or DO before they are able to participate in student athletics.  This office is unable to perform physicals for these student athletes.  

If your athlete needs a physical, please print the OHSAA 2023-2024 form.​​