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EXCLUSIVE OFFER

New Patients Receive A Free Consultation

Online Forms

Crawford Chiropractic Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Intake

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

HIPAA Acknowledgement

Download & Print Form

Insurance/Payment Policy

Download & Print Form

Notice of Privacy Practices

Download & Print Form



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