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Chiropractic Health Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
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!
Consent to Treat Minor Form
If we are treating a minor, we will need you to fill out this form and bring with you to your first appointment.
If you are going to be treated for injuries suffered in an auto accident, please fill out this form and bring to your first appointment.
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!