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New Patient Forms

Want to save 20 minutes on your first visit?

 

Click below to download and print your New Patient Application Forms.

Please print and fill out this form before you come for your first visit.

Download and Print Your New Patient Application Form 

 

New Patient Application Forms for Your Children:

  1. Download and Print the Newborn History form

  2. Download and Print the Infant History form

  3. Download and Print the Child History (3-5 years old) form

  4. Download and Print the Child History (6-12 years old) form

     

 

Use Adobe to view your new chiropractic patient forms

 

 

Total Health Chiropractic Logo Lansing Office
252 S. Waverly Road
Lansing, MI 48917
517-321-8568
Westphalia Office
119 W. Main Street
P.O. Box 561
Westphalia, MI 48894
989-587-BACK
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