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Download. Print. Complete.

Please take a moment to download, print, and complete your Chiropractic and Nutrition patient-forms before you come into the office. This will help ensure that patients stay on schedule.

Nutrition

• Patient Questionaire
• Patient Symptom Survey
• Patient Privacy
• Patient Release Form

Chiropractic

• Patient Questionaire
• Patient Privacy
• Patient Release Form

Acupuncture

• Acupuncture (Male)
• Acupuncture (Female)
• Patient Privacy
• Patient Release Form

Thermography

Breast: (if doing the full or half body as well as breasts, please complete the Symptom History Form as well)

• Patient Questionaire
• Patient Privacy
• Thermography Appointment Preparation
• Patient Release Form
• Breast History
  

All other thermography:

• Symptom History Form
  
• Patient Privacy
• Patient Questionaire
• Thermography Appointment Preparation
• Patient Release Form

Neo Control® Chair

• Neo Chair Questionnaire
• Patient Questionaire
• Patient Symptom Survey
• Patient Privacy
• Patient Release Form

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