Patient Intake Form
Welcome to our electronic Patient Intake Form. The information you fill in will be sent directly to our front desk, speeding up your office visit and allowing us to better serve your healthcare needs. Please provide us with ID and insurance card so we can make a copy for your records. We offer a variety of services including Chiropractic, Vitamin IV Drips & Injections, Mens Health, Weight Loss, Body Slimming Treatments. Questions? Please Ask Us.