SpringWell Health Center
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Services Intake Forms 




CHIROPRACTIC WITH DR. LORI MACE DC

Please copy and paste the following link into a new window.  Fill out the information pertinent to you, once you are done, please click SUBMIT.  For pediatrics patient, please fill out pediatric questions.  If you were injured at work or in a motor vehicle accident, please fill out the Personal Injury questions.  If you have questions, please contact our office at 541-343-3455

https://www.mychirotouch.com/patientintake/?clientid=SHC0015

 MASSAGE WITH SARANANDA DAVIS LMT #7612

​Please print form and bring it with you to your first appointment
sara_intake.pdf
File Size: 712 kb
File Type: pdf
Download File

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