Jones Chiropractic Center PC

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. By signing this document you agree that you are free from Covid-19 to the best of you knowledge, and are following the state social distancing guidelines. You also agree that you are coming to our clinic aware of the risk of contracting Covid-19, and release Jones Chiropractic from liability. We do regular cleaning between patients, and follow the state guidelines for preventing the spread of Covid-19

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