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PATIENT RESOURCES

Please click on the appropriate download file below to access and print out the necessary forms and bring them with you to your scheduled appointment.   

NEW PATIENTS​

New patients must complete the intake form above.  Please make every effort to complete each section (if applicable), and please sign and date every page. Thank you!

AUTO CLAIM - NEW PATIENTS


If you are a new patient with an open auto claim (PIP), please complete this New Patient Packet (above), which includes the Motor Vehicle Accident Questionnaire.

AUTO - ESTABLISHED PATIENTS


If you are an existing patient with an open auto claim, you need only complete this Motor Vehicle Accident Questionnaire.

MINOR PATIENTS


If a minor child in your care is coming in to our office without you accompanying them, please fill out this Consent to Treatment form and have them bring it to their appointment.

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ACCELERATE YOUR HEALTH AT FLOCK CHIROPRACTIC CLINIC, INC.

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