New Patients Seen Same Day

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641 E. State St. • Alliance, OH • 44601-4913 • FAX: 330.821.4504
330.821.4455

Family Health Chiropractic  •  641 East State Street  •  Alliance, OH 44601
(330) 821-4455

Patient Forms

  Please click on the form below to print out the two pages and complete them before you come to your appointment. 
This will speed up your visit and shorten the amount of time you spend in our waiting room!

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Patient Intake Form (2 pages)

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