Collett Family Chiropractic, 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. Please be as accurate as you can with your information. Please be sure to fill in as much information as you can. This will give Dr. Sherri the most detailed description of your condition to allow for the best treatment. It is very important that you fill in the details as much as possible. If this is not completed before your appointment you will be asked to reschedule your appointment. Thank you.

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