NEW PATIENT FORMS
Please click on the PDF icon to open and print the form.
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Please print and fill out these pages if you are new to the office and seeking Chiropractic services.
Please print and fill out these pages if you are new to the office and seeking Massage services.
New Patient Chiropractic ONLY Form
New Client Massage ONLY Form
Massage Intake Form
Massage Club Rules/Authorization
Please print and fill out for existing patients of Dr. Wilkinson who
are looking to utilize massage services in addition to chiropractic care.
Please print and fill out if you would like to join our massage club to receive discounted rates.
For your information only. Please do not print this material for your visit.
Note: Notice of Privacy of Practice does not need to be submitted as part of the new patient package. It is for your information and will be available here. You do not need to print this material for your visit.
Note: This handout is for your information only. You do not need to print this material for your visit.
Notice of Privacy of Practice Form
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Understanding Your Insurance
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How-to Instructions:
Creating an online account as a first-time user. Scheduling an appointment online. You do not need to print this material for your visit.