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Practice Name

Peninsula Chiropractic Center

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Primary Location
26685 Sussex Hwy
Seaford, DE 19973
Phone: 302-629-4344
Fax: 302-629-4646

Office Hours

DayMorningAfternoon
Monday8:00 -12:002:30 - 7:00
Tuesday9:00 -12:002:30 - 7:00
Wednesday8:00 - 12:002:30 - 7:00
Thursday9:00 - 1:00Closed
Friday8:00 - 12:002:30 - 7:00
SaturdayClosedClosed
SundayClosedClosed
Main Content

Peninsula Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Dr. Michael A. Triglia


Online Forms

Peninsula Chiropractic Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Download Online Forms Here

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Request An Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Now

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide. We  not only offer  Chiropractic care for children to the elderly, we have massage therapy, re-conditioning programs and several nutritional programs. To learn more call today 302-629-4344

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Contact

Peninsula Chiropractic Center
26685 Sussex Hwy
Seaford, DE 19973
Get Directions
 
  • Phone: 302-629-4344
  • Fax: 302-629-4646
  • Email Us

Office Hours

DayMorningAfternoon
Monday8:00 -12:002:30 - 7:00
Tuesday9:00 -12:002:30 - 7:00
Wednesday8:00 - 12:002:30 - 7:00
Thursday9:00 - 1:00Closed
Friday8:00 - 12:002:30 - 7:00
SaturdayClosedClosed
SundayClosedClosed
Newsletter

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