Chiropractic Health & Acupuncture

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Patient Intake Form

Filling out this form will not generate a phone call to you from us. We recommend you book an appointment prior to filling out this form. Please call the office ... 970-668-3299. 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.

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