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BEFORE completing our Patient Intake Form, please review Back 2 Back Chiropractic's Informed Consent to Chiropractic Care Policy, HIPPA/Privacy Notice and our Billing Policy by clicking the link below.

Consent Form Link

Select the "Patient Intake Form" button to complete Patient Intake Form.  If you need assistance, please contact our office (704) 799-1999 OR email us at [email protected]

 

Patient Intake Form



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Or Call 704-799-1999