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Patient Forms

Your first visit to Applied Modern Health Chiropractic involves a few special steps so that we may get to know you.

Please print and fill out these forms so we can expedite your first visit:

PATIENT FORMS:

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In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

FORMS OF PAYMENTS:

  • Most Insurance Plans (please feel free to give us a call and as a courtesy, we will verify if your carrier has chiropractic benefits)
  • All major credit cards except American Express, CareCredit and all major insurances
  • Cash


Contact Us

Send us an email

Hours of Operation

Check out our schedule

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Monday:

9:00 AM-12:00 PM

3:00 PM-7:00 PM

Tuesday:

3:00 PM-7:00 PM

Wednesday:

9:00 AM-12:00 PM

3:00 PM-7:00 PM

Thursday:

3:00 PM-7:00 PM

Friday:

9:00 AM-12:00 PM

3:00 PM-7:00 PM

Saturday:

Closed

Sunday:

Closed

Our Location

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