Charlottesville

199 Spotnap Rd.

Charlottesville, Va 22911 US

434-960-6733

Palmyra

202 Turkeysag Trail

Palmyra, VA 22963 US

434-591-0900

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Online Forms

Lauterbach 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Informed Consent Intake Form



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CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Monday:

3:00 pm-6:00 pm

Tuesday:

8:30 am-12:00 pm

2:30 pm-6:30 pm

Wednesday:

8:30 am-12:00 pm

2:30 pm-6:00 pm

Thursday:

8:30 am-12:00 pm

2:30 pm-6:30 pm

Friday:

9:00 am-12:00 pm

Saturday:

9:00 am-11:00 am

Sunday:

Closed

Location

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Testimonial

  • "Dr. Lauterbach has helped me when the going gets tough! I have fibromyalgia and when I first saw him I couldn't raise my arm due to the tightness in my shoulder blade and back. He gave me my arm motion back. The massage therapy in his office is wonderful, too. He has helped my son with repeated back pain after an injury, as well. He and his staff are very professional and friendly and will always work you in. Can't recommend his services high enough!"
    Donna C. / Palmyra, VA

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