3933 Perkiomen Avenue, Suite 101

Reading, PA 19606 US


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Online Forms

The Spine and Wellness Center offers our patient form(s) online so they can be completed 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.

New Patient Health History Form - Required

Filling out the paperwork prior to your initial visit will save both yourself and our staff time. Click on the link below that pertains to the service(s) you are having rendered. Please print out forms and fill out prior to your appointment.

SWC New Patients online Forms for Chiropractic, Massage and Acupuncture

SWC Updated Demographics and Health History

SWC New Patient Facial

SWC New Patient Laser Hair Removal

New Patient Pain Management of Berks County

New Patient SWC Family Care 

New Patient Exeter Physical Therapy 

Consent to Treat a Minor

Medicare Insurance Chiropractic form

Gym Membership Application

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Welcome to The Spine and Wellness Center!

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Office Hours

Our Regular Schedule


8:00 am-7:00 pm


9:00 am-7:00 pm


7:00 am-7:00 pm


8:00 am-7:00 pm


9:00 am-6:00 pm


8:00 am-2:00 pm


8:30 am-2:00 pm


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