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(618) 463-1600

NEW PATIENT ONLINE INTAKE FORMS

The link below will take you to our online intake form. This form will be completed online and should be completed prior to your first visit.

Here you can download fillable PDFs of all of our new patient intake forms so that you can have them filled and ready upon arriving for your visit!

INFORMED CONSENT TO CHIROPRACTIC CARE

X-RAY ASSIGNMENT AGREEMENT AND CONSENT

POLICY AGREEMENT AND HIPAA DISCLOSURE FORM

OFFICE POLICIES

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