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Please click and download the top 3 forms for Chiropractic care and the bottom 4 plus the HIPPA form for Menopause Wellness Coaching (5 total forms for Menopause Coaching).
Chiropractic New Patient History Forms (pdf)
DownloadChiropractic Informed Consent (pdf)
DownloadHIPPA Notice of Privacy Practices (pdf)
DownloadMenopause Coaching Consent Form (pdf)
DownloadDaily Food Diary (pdf)
DownloadMenopause Pre-consultation assessment (pdf)
DownloadMenopause Health Questionnaire (pdf)
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California Chiropractic Board Licensed #DC28770 and fully insured through NCMIC
The 4-Week Menopause Health and Vitality Course: Offers step-by-step nutrition plans, exercises, supplement guides, and more! Get yours today!