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Racine Chiropractic Wellness Center New Patients & Forms

“	Much to my delight, I found a very caring and compassionate doctor who took the time to listen to me and even believed in me.”
-Sara

“	It is wonderful to have a doctor who truly wants to make his patients better instead of handing out more pills to mask the problem.”
-Bev

Racine Chiropractic Wellness Center New Patients & Forms

To help expedite the process, please fill out the three-page patient history form and bring it with you on your first visit. Thank you.

		NEW PATIENT FORMS
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