Vitality Family Chiropractic Center

Prenatal and Pediatric Chiropractic

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Looking forward to working with you and your family! 

 

 

 Please print out the appropriate forms, fill them out and bring them with you on your first visit.  This will give you the time you need to fill out the forms completely and will allow us to maximize our time together.

 

 

Vitality Intake.doc or vitality_adultintake.pdf, for everyone over twelve years of age.

 

vitality Child_Form.doc or vitality_childintake.pdf,  for children under twelve years of age.

 

Vitality Pregnancy_History.doc or Vitality Pregnancy_History.pdf,  for pregnant clients in addition to the adult intake forms.

 

 

*If you are not able to access these files, they can be e-mailed, faxed, mailed, or picked up ahead of time. 

 

 

Cash or check only.