Thank you for your interest in visiting our office! This request form is a way for us to learn a little more about you, so please answer the first couple questions thoroughly with some thought and reflection.

It is most common that our guest will arrive in Indiana, PA the night before your visit and leave the day following our visit, but accommodation can be made for changes. Nothing in this request form is written in stone and my office manager will reach out personally to help with your visit, and answer any questions you may still have. We look forward to hosting you here in Indiana.

All the best!
– Dr. Sleppy

  • Our office manager will reach out to help with your visit. Please provide the best information you can. We can usually accommodate certain changes if needed for you. Scheduled visits will be dependent on Dr. Sleppy's availability, so nothing is final until it is confirmed with the manager. We look forward to hosting your stay in Indiana, PA!
  • I agree that Sleppy Chiropractic PC, Dr. Matthew H. Sleppy, DC or our affiliates are not responsible for injury or loss during your visit or travel. Dr. Sleppy makes no claims or offers in relation to your visit.
  • This field is for validation purposes and should be left unchanged.