Appointments Thank you for choosing Swisher Chiropractic. Please fill out our form below to schedule an appointment. Once your form is submitted, we will contact you to confirm your appointment date and time. Name* First Last Phone*Email Client*AdultMinorPreferred Days* Monday Tuesday Wednesday Thursday Friday Preferred Times* Between 9:30am - 12pm Between 3pm - 6pm What symptom(s) have you experienced?* Back Pain Neck Pain Headaches/Migraines Insomnia Weight Troubles Other Other Symptom(s)*How did you hear about Swisher Chiropractic?*Internet SearchEmailDeal SitesReferralOtherName of Referrer*Deal Sites*GrouponLiving SocialQuestions/Comments This iframe contains the logic required to handle AJAX powered Gravity Forms.