Cole Chiropractic and Wellness
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Patient Forms

To make your visit effective and efficient, please click on the form name below to complete and print these form prior to your visit.

Adult Patient History & Consent to Treat

Pediatric History & Consent to Treat

HIPPA Statement

Hippa Signature Form

 

 

Patient Information

Chief Complaint

Child History

Dr. Cole Recommends JuicePLUS

Healthy nutrition and diet are a major part of wellness. Please visit my nutrition website for more information: www.drdanette.juiceplus.com

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Categories

  • Chiropractic Care
  • Exercise and Recreation
  • News & Events
  • Nutrition
  • Resources For The Workplace
  • Wellness In The Home

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