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Patient Downloads

New Patient Adult Forms: Please click the link, it will take you to our forms to fill out online. Please fill them out throughly, Thank you!

They can NOT be filled out on a mobile device! Please sure to use a desktop, laptop, or tablet in order to submit a valid form!

https://www.mychirotouch.com/patientintake/?clientid=SC0231

New Patient Children Forms:

Birth to 2 months:

birth to 2 months old.doc
Birth History.doc
Pediatric new patient information.doc
Financial Policy - Chiro Center.doc

2 months to 2 years:

Birth History.doc
Pediatric new patient information.doc
2 months to 2 years old.doc
Financial Policy - Chiro Center.doc

3 years to 5 years:

Birth History.doc
Pediatric new patient information.doc
3 years to 5 years old.doc
Financial Policy - Chiro Center.doc

6 years to 12 years:

Birth History.doc
Pediatric new patient information.doc
6 years to 12 years old .doc
PAIN HISTORY.doc
Financial Policy - Chiro Center.doc


Activities / Exercises to Improve Patient Wellness.

Techniques to Assist Detoxification

Therapeutic Exercises