Patient Resources

Patient Forms
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Hours:
Mon | Wed | Fri - 8:30am - 6pm
Tues 9am - 5pm | Thurs 9am - 1pm

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Serving Dayton, OH with Nutrition, Chiropractic & Acupuncture

 

Phone Consultations

We can find a lab near you to run tests and provide your consultaion over the phone.

Patient Intake Forms

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.

Acupuncture (Male)

Acupuncture (Female)

Nutrition Patient Questionaire

Nutrition Patient Symptom Survey

Daily Food Log (pre-consultation) | See example/instructions

Chiropractic New Patient Questionaire

Patient Privacy



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