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SOUTH AIKEN CHIROPRACTIC
New Patient Paperwork
To shorten your initial office visit time, please print and fill out the attached forms in blue or black ink. Please date the documents with the date of your appointment. For minors, please fill put the minor forms.
We look forward to caring for you!
Please pick the packet that best suits your complaint.
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What is your main complaint?
Minor New Patient Packet
This form includes a form for any minor (who is of driving age) to be able to receive care without the presence of a parent or legal guardian.
This form also includes a section on allowing other people to bring your minor to receive care, such as a family member or friend.
NOTE: The parent or legal guardian MUST be present for the initial visit.
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What is your main complaint?
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