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Click icon below to download our New Patient form for pediatric patients as a PDF Document.
Once downloaded, print, fillout ,and bring with you to your next office visit.
Pediatric History Form
BELOW ARE THREE ADDITIONAL FORMS FOR NEW PATIENTS TO FILL OUT BEFORE FIRST VISIT
1. HIPPA
2. TREATMENT AUTHORIZATION
3. INSURANCE ASSIGNMENT
Please click this link to complete new patient information online! |
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I know there is so much controversy between chiropractic and medical care, but if it were not for chiropractic I would still be in pain. A car accident left me with constant lower back pain. I tried everything from painkillers to preparing to have surgery. I heard stories from my friends who had surgery and to this day wish they never had it. So I decided to go to a chiropractor before the surgery and I am so thankful that I did. My back pains are gone and I am living my life to the fullest and pain free. 
Jeffrey Harris
