Appointment Request Form

Use the form below to request an appointment. Select a first and second appointment preference date and time. Our office will contact you to confirm scheduling based on appointment availability.


Our offices are open Monday through Friday from 9am to 6pm. Appointments must be requested at least 2 day(s) in advance. If you are having an emergency please call our office at (330) 726-7404.

Additional Comments

Please do not send personal medical or health information via this form. Our office can discuss these matters with you in detail during our telephone conversation with you.

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We have been servicing the Youngstown and Mahoning Valley area since 2001 with convenient locations in Boardman, Hubbard, and Kinsman. At Advanced Chiropractic & Rehab we are multi-disciplinary rehabilitation group that treats work comp injuries, whiplash, sports injuries and specializes in much more than just low back pain.