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New Patient Paperwork
(never been to our office or its been > 3 years)

Click on the tab that most describes your situation.

Select "New Patient" or "New Patient Car Accident" if you were in a car accident and are filing with car insurance (PIP) for your injury.

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Do one or the other, NOT BOTH.

Georgina welcome

Returning Patient Paperwork
(If it's been > 6 months but< 3 years
OR you have a new condition/injury OR you've been in a car accident)

Car Accident (Returning Pt)
New Condition/Injury

Click on the tab that most describes your situation.

Select "It's Been Awhile"  OR "New Condition/Injury", OR "Car Accident (not a new patient)" if you are already a patient and were in a car accident and are filing with car insurance (PIP) for your injury.

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Choose one tab, NOT ALL.

Fern Creek Chiropractic front facade

Therapy Paperwork
(If it's your first time having this type of therapy)

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Massage New Patient Information Form

Cold Laser Intake Form

Dry Needling Consent & Post Treatment Instructions

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Non-Surgical Decompression Traction Therapy Intake Form

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