Christensen Chiropractic -
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Patient Forms:
 
New Chiropractic Wellness Patient Forms:
(Please print and fill out all of the following forms and bring with you to your first appt.)
 
 
 
 
INFORMED CONSENT.doc (DOC — 28 KB)
 
 
 
 
 
 
 
 
 
 
 
HISTORY OF INJURIES.pdf (PDF — 25 KB)
 
 
 
 
 
 
 
Existing Patient Update Forms:
 
(Please print and fill out both forms and bring to your appt.)
re-exam.doc.docx (DOCX — 117 KB)
 
 
 
 
 
HISTORY OF INJURIES.pdf (PDF — 25 KB)
 
 
 
 
 
 
 
Nutrition Patients Only:
 
 
 
 
 
*Patients wanting nutrition counseling please fill out the health questionnaire and bring with you.*
 
 
 
Auto Accident Patients:
For Auto Accidents, please be sure to bring your police report, claim #, adjuster information etc. to your  first appointment.
 
Please fill out the Informed Consent and Financial Agreement above as well as the following:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Christensen Chiropractic
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505 East Blvd Suite 100
Charlotte , NC , 28203 USA
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Phone 7043472888
Fax 7043470068