5431 Jonestown Rd

Harrisburg, PA 17112 US

(717) 540-8448

Open mobile navigation

Online Forms

Skocik Chiropractic offers our patient form(s) online so they can be completed at the convenience of your home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download. Download the Free AdobeReader®
  • You have the option to complete the forms online or download the necessary form(s), print it out, and fill in the required information.
  • Fax or email us your printed and completed form(s) or bring it with you to your appointment.

Phone: (717) 540-8448

Fax: 717-540-6233

Email: [email protected]


New Patient Form - Required

Complete Online

Once you click submit, the form will be sent directly to our computer system. On your first appointment to the office, you will still have to sign a HIPAA form, Office Policy and complete any required insurance forms.

Download & Print Form 

Please print then complete forms, once completed please fax, email or bring it with you to your appointment. On your first appointment to the office, you will still have to sign a HIPAA form, Office Policy and complete any required insurance forms.


Auto Accident Questionnaire - Only fill out if experiencing auto accident injury.

Download & Print Form


Work-Related Injury Questionnaire - Only fill out if experiencing work related injury.

Download & Print Form


What to bring to your new patient appointment

-Identification Card: The card must include your name, date of birth and a photo.

-Insurance Card if applicable. We treat many patients on a self-pay basis.

-Worker's Comp Claim Information: The information must include Insurance Carrier Name, Date of Accident, Employer's Name, Claim #, Insurance Carrier Phone #.

-Auto Claim Information: The information must include Insurance Carrier Name, Date of Accident, Claim #, Insurance Carrier Phone #. PA is a no-fault state, please bring your insurance carriers claim information no matter who was fault.

-Medication List: We can make a copy.

-Emergency Contact Information

*The new patient appointment will take approximately 1.5 hours, please make sure to have time in your schedule to complete the visit.

This screening is entirely FREE!

** Due to Federal Regulations, This offer does not apply to Medicare/Medicaid. **

Regular Office Hours

By Appointment Only

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    Teresa S.
  • "Wonderful staff. Makes you feel like it's home. Dr. Skocik is a wonderful gentleman. Just wants to help you so you can be better. Goes up and beyond."
    Sean F.
  • "This office is extremely friendly and provides excellent service!!!!"
    Rohimah H.
  • "Best doctor and best staff ever the service is perfect thanks you all guys I appreciate it."
    Pagal R.
  • "Always super helpful! I got hit by a car earlier this year and they have been helping me heal ever since!"
    Charlette B.
  • "My experience With Dr. Skocik has been exceptional. The staff provides excellent services and care. I always feel better after my treatment! Looking forward to a full recovery!"
    Linda S.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "Very great dr.Skocik, and amazing nurses they definitely know what they doing."
    Alona L.
  • "Helped me with a damaged disk.very knowledgeable and a great way to go to handle pain in a natural way."
    Tommy H
  • "The best Chiropractor in town."
    Bryan D.
  • "Good experience. Explains things patiently. Friendly Staff"
    Amit K.
  • "The staff is all great and Dr. Skocik is one of the best and nicest chiropractors."
    Matthew G.
  • "Dr. Skocik did a wonderful job helping me get back to normal. He explained things in detail. A very pleasant and courteous atmosphere. I found my go to chiropractor!!"
    Diane L.
  • "Dr Sk is thorough in his exams and explanations of recommended treatment and process. The staff are courteous, friendly and professional. I have seen improvement in my range of motion, mobility and reduction of pain in back and spine."
    Arlis V.
  • "I love this place. I have been going through a rough time, injuries, employment, school, death in the family, and stress. Dr. Skocik and his staff are a blessing. They have been there to help me not only with my injuries but with my life in general. No matter how much pain and misery I may be going through, I always leave feeling better and with a smile on my face. I think the entire staff is awsome."
    Melissa J.
  • "Quote from the movie The best exotic marigold hotel- “Most things don’t work out as expected, but what happens instead often turns out to be the good stuff.” - reminded me of you all. Thank you for helping me through my rough and frustrating healing process !!"
    Shirly P.
  • "Great office, sure had helped me"
    William G.
  • "Thank you to the entire team, Dr. Skocik, Kourtnay, Shannon, Nicole, and Daphne for taking great care of me. From not being able to walk to using a cane to now...you are a god-send! Highly recommended!!!!!"
    Dwayne D.
  • "Thanks"
    Jody B.
  • "Very nice people."
    Kim D.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "In addition to the standard chiropractic services, Skocik also offers massage. The massage therapist is awesome, the prices are fantastic and I have never left anything but totally satisfied. You do give up a tiny bit of ambiance compared to a "spa", but what you get is more than worth it in my opinion. Highly recommended."
    Tiffany I.
  • "I appreciate Dr Skocik calling me at home to inquire about my recovery!
    Try stem cell & PRP therapy. It's worth it if it means having your life back without surgery!"
    Regenerative Medicine Patient O. Olagbemi
  • "I have been coming to this office for years and I would refer anyone to come to this office I never have had a bad experience."
    J. Weldon
  • "I like the combination of services they have.
    Adjustments, Maintenance, Physical Therapy options, massage and laser therapy.
    Not many places have that."
    A. Schultz
  • "The staff was very welcoming & make you feel completely comfortable. I would recommend them to anyone."
    T. Mahone
  • "Great Chiropactor , great staff, they are passionate about what they do and it shines through. I would highly recommend Skocik Chiropractic ! 👍"
    T. Romberger
  • "Dr Skocik treats his patients like family, great rehab equipment, phenomenal staff and amazing massage therapists!!!"
    T. Warner
  • "I go here for massages, best you'll find in the area, and very good prices. The large office that has a wide range of chiropractic treatment equipment, and is a complete back treatment and rehab facility."
  • "This office is highly professional and organized! Great chiro service and I highly recommend!"
    J. LeCadre
  • "Simply the best! Period."
    J. Williams
  • "Dr. Skocik office treats you like family, wonderful staff and I will recommend anyone to his office.👍 👍 👍"
    K. Trollinger
  • "Amazing first impression and excellent, thorough exam for diagnosis. Physical therapy feels great."
    C. Campbell
  • "This office is organized and very professional, great chiro care! Would definitely recommend this office!"
    C. Myers
  • "I've been seeing Dr. Skocik for many years. Very professional office, he and his staff take great care of me. I recommend them often."
    T. Mowatt
  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    T. Coffman
  • "Coming from Toronto and seized up shoulder. Dr went way out of his way on a Saturday to open the clinic for me to assess. Very professional and kind. Wonderful."
    A.C.
  • "Doctor Skocik is really sincere about helping people"
    J. Peiffer
  • "What I love about my experience. I was able to be seen with in a 24 hours window..For those who suffer from lower back pain will truly understand how important that is. For that alone i give you five stars .. Excellent staff"
    F. Jackson
  • "I love coming here. The staff is very Friendly! I have had all kinds of issues with my back and ever since I started coming here i have made lots of improvement. I highly recommend Skocik Chiropractic!"
    Jessica C.
  • "The level of care, from the chiropractic services, to the massage therapy..to the office staff...EVERYONE treats you like family. I can honestly say that their is a genuine concern for your progress and well being.
    I would highly recommend."
    Craig W.
  • "I have always had a good experience with them and I have been a patient for a number of years. They are very nice about rescheduling appointments. The staff is always very friendly and I have always found them reasonably priced."
    L. Henninger
  • "I had a great experience in Skocik Chiropractic and they are very professional and fixed my lower back pain problem. My whole family goes to this practice and we highly recommend to other people."
    F. Zhang
  • "Skocik Chiropractic was very personable and informative. Dr. Skocik and his staff purposefully takes care of their patients with attentiveness and professionalism. I enjoyed my time there and highly recommend Skocik Chiropractic."
    B. Wanda

Featured Articles

Read about interesting topics