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PROACTIVE CHIROPRACTIC AND REHAB CENTER
ENDING YOUR PAIN GENTLY AND QUICKLY
ENDING YOUR PAIN GENTLY AND QUICKLY
CALL US 704-504-1770
PATIENT FORMS
Below are the required paperwork for New Patients at our office. Please note that all
of the following paperwork must be completed before receiving treatment at our
office.
Click here for form one
Click here for form two
Click here for HIPPA form
Note: Due to the many types of insurance and patient situations additional paperwork
may be required at time of appointment.
Below are the required paperwork for New Patients at our office. Please note that all
of the following paperwork must be completed before receiving treatment at our
office.
Click here for form one
Click here for form two
Click here for HIPPA form
Note: Due to the many types of insurance and patient situations additional paperwork
may be required at time of appointment.
