Request an Appointment

Lake Chiropractic, PC
9 Centre Court
Palmyra, VA 22963
434-589-8005
info@lakechiropractic.net
*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

For verification purposes, please type in the numbers and letters that you see below then press the Send Request button.

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

               

Monday
7:00 - 11:00a, 3:00 - 6:00p Palmyra, VA
Tuesday
4pm - 7pm
Wednesday
7:00 - 11:00a, 3:00 - 6:00p Palmyra, VA
Thursday
Lake Chiropractic CLOSED
Friday
7:00 - 11:00a Palmyra, VA
Saturday
9:00 - 11:00 a Palmyra, VA  - Every Saturday!
Sunday
Lake Chiropractic CLOSED