Beres Chiropractic Center, Inc

Patient Intake Form

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speeding up your office visit and allowing us to better serve your healthcare needs! Call our office 706-596-7220 if you have any questions. Cancellation Policy: We require a 24 hr advance notice of cancellation or reschedules for new patient appointments. Anyone who forgets or consciously forgo their appointment for whatever reason will be considered a “NO SHOW” and will be charged a fee.

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