Accessibility View Close toolbar

913 West Logan Street

Celina, OH 45822 US

419-586-8600

Open mobile navigation

Online Forms

Geise Chiropractic, LLC 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!


New Patient Registration Forms  **For New Patients     *** (If it has been more than 3 years since last seen) ***

Updated Pain Chart   **For Established Patients    *** (if you have been seen within the last 3 years) ***


Symptoms Survey A

Symptoms Survey B

Does my Insurance Cover Chiropractic


Download the Free AdobeReader


Sign up using the form below or call 419-586-8600 to make an appointment.

Featured Services

Click to Find Out More

Office Hours

Our Regular Schedule

Monday:

8:30 am - 12:00 pm

1:00 pm - 6:30pm

Tuesday:

12:00 pm

5:00 pm

Wednesday:

8:30 am - 12:00 pm

1:00 pm - 6:30 pm

Thursday:

8:30 am - 11:00 am

Friday:

8:30 am - 12:00 pm

1:00 pm - 5:00 pm

Saturday:

By Appointment

Sunday:

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "Testimonial Coming Soon..."

Featured Articles

Read about interesting topics

  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More

  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More

  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More

  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More

  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More

  • The Benefits of Sleep for Adults

    Obtaining sufficient restful sleep is an essential requirement for optimal human productivity. Such a practice is a key component of a healthy lifestyle, which includes a nutritious diet, regular vigorous exercise, and a positive mental attitude. How much sleep one needs varies from person to person. ...

    Read More

  • Back to School and Mental Wellness

    Summer is a subjectively fleeting season and school days are upon us once again. For children, this bittersweet time marks the completion of a period of relative freedom and the beginning of a new set of responsibilities. For adults, the onset of late summer and early fall signals yet another turn of ...

    Read More

  • Repetitive Motion Injuries

    A repetitive motion injury (or overuse injury) involves doing an action over and over again, as with a baseball pitcher throwing a baseball, a tennis player hitting a tennis ball, typing at a computer keyboard, and most notoriously, typing with your thumbs on the tiny keypad of your phone. It may be ...

    Read More

  • Left-Handers Day

    Left-Handers Day Left-Handers Day, celebrated on August 15th, was launched in 1992 by the Left-Handers Club, an organization based in the United Kingdom. Since then, Left-Handers Day has become a worldwide event and social media phenomenon. Around the world, approximately one in ten persons is left-handed. ...

    Read More

  • Peak Experiences

    Peak Experiences The American philosopher and naturalist Henry David Thoreau roamed far and wide over the hills and mountains of his native Massachusetts and neighboring New Hampshire. In his masterwork, "Walden," Thoreau famously stated that we must "reawaken and keep ourselves awake, not by mechanical ...

    Read More

Newsletter Sign Up

Sign up for more articles