42 Valley Road

Middletown, RI 02842 US

(401) 847-8889

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Online Forms

New Patient Form

Pruitt 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 Packet - 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!

Download & Print Form


Pediatric (Children under 18 years of age) New Patient Form

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

Download & Print Form



Download the Free AdobeReader®

CONTACT US TODAY

We look forward to hearing from you

Office Hours

Our Regular Schedule

Monday:

8:00 am - 2:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 2:00 pm

3:00 pm - 6:00 pm

Wednesday:

8:00 am - 2:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 2:00 pm

3:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "Very sweet folks, kind, caring, empathetic, accomodating, and Dr. Lalli has miracle hands. They have been a blessing for my family and myself. Thank you!"
    Ummeh I.

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