Chiropractic Patients

We are looking forward to assisting you on your path to optimal health.  If you would like to become a new chiropractic patient at our office please take the time to download the forms below, fill them out in their entirety and bring them with you to your scheduled appointment. This will help us get you back to see the doctor faster!

*Dr. Annette sees chiropractic patients in Jacksonville on Wednesday and in Springfield on Tuesday & Thursday.

*Dr. Chris sees chiropractic patients in Jacksonville  Monday-Friday.

These forms are for chiropractic patients ONLY, nutrition patients can find information under the Nutrition Consult tab.

-Chiropractic Forms-
New Patient Intake Form
Consent to Treat Copy
HIPAA Privacy Notice
Acknowledgement of Receipt of HIPAA Privacy Notice
Financial Policy

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