VITAL CHIROPRACTIC RENEWAL
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​WELCOME TO VITAL CHIROPRACTIC RENEWAL

PLEASE CALL 828.736.0326 TO SCHEDULE AN APPOINTMENT
​
AFTER SCHEDULING YOUR FIRST APPOINTMENT, please:
1) Bring ID and Insurance Card to your new appointment.
​2)  EMAIL your completed PERSONAL HISTORY FORM, below, to [email protected].  
​     (You may also bring the form to our office on your first scheduled appointment date.)

New Patient Personal History Form

PERSONAL_HISTORY_FORM.pdf
File Size: 270 kb
File Type: pdf
Download File

Can’t download? Fill out the contact form below:

    CAN’T DOWNLOAD THE FORM OR HAVE OTHER QUESTIONS?  PLEASE SUBMIT YOUR NAME AND EMAIL BELOW. WE’LL GET BACK TO YOU SOON.

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  • Home
  • NEW PATIENT
  • MAKE AN APPOINTMENT
  • SUPPLEMENTS
  • Services
  • About
  • BLOG