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Intake Forms

Long Chiropractic Center offers our patient forms online so they can be completed in the convenience of your own home or office.

  • Download the forms below and fill in the required information.
  • Please bring forms with you to your appointment.

Patient Intake Form (Adult)

Download & Print Form


Patient Intake Form (Child) 

Download & Print Form


Patient/Doctor Agreement

Download & Print Form


Text/Email Reminder Form

Download and Print Form


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