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Patient Forms

Please print off the following forms, fill them out, and bring them with you to your first visit. To view the forms, please click on the image below.

Application For Care Forms

Back To Life Chiropractic Application For Care
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Auto Injury Information Forms

Back To Life Chiropractic Auto Injury Information Form
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We Specialize In Treating

  • Allergies

  • Arthritis

  • Asthma

  • Back Pain

  • Auto Injuries

  • Carpal Tunnel Syndrome

  • Disc Bulging / Herniation

  • Frozen Shoulder

  • Headaches

  • Joint Pain

  • Neck Pain

  • Plantar Fascitis

  • Radiating Arm & Leg Pain

  • Stiff Neck

  • Sciatica

  • Spinal Degeneration

  • Sports Injuries

  • TMJ Disorder

  • Whiplash