Request an Appointment

Lifeforce Chiropractic LLC
27 Hartford Turnpike Suite 205
Vernon, CT 06066
860-649-7705
customerservice@lifeforcect.com
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone

Format XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message



NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

 Monday

10:00a - 1:00p & 3:00p - 6:00p

Tuesday

  3:00p  - 6:00p

Wednesday

10:00a - 1:00p & 3:00p - 6:00p

Thursday

3:00p  - 6:00p

 

Friday

10:00a - 1:00p & 3:00p - 6:00p

Saturday & Sunday

Closed