Chiro-Fit Inc.

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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. No printing required. We are excited you chose our practice. If you have any questions prior to the appointment, please do not hesitate to call. Yours In Health, Dr Schoonmaker(Sk-oon-maker 👂😉)and staff!

Who are you?