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Online Paperwork

Smith Chiropractic Clinic offers our patient form online so you can complete it in the convenience of your own home or office.

Simply download the form, print it out and fill in the required information, then bring it with you to your appointment.

New Patient Health History Form – Required

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

pdf iconDownload & Print Form

Smith Chiropractic Clinic | (704) 788-3126