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Online Forms

We offer our paperwork online so you can complete it in the convenience of your own home. Contact us or Click here to email us your questions!


Chiropractic Care

We want to know what’s happened, how you feel, and identify areas of dysfunction in the body.  Our paperwork and examinations help our doctors determine how chiropractic care can benefit your body and improve your health!

New Patient Packet

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DISC-covery Patient Form

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Consent to Treat a Minor

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New Patient Personal Injury/Automotive Collision Packet

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Existing Patient New Condition/Injury Form

(Subjective Progress Report)

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Powell Chiropractic Clinic, Inc. | (330) 494-5533