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Columbia New Patients

All steps need to be filled out on a desktop or laptop computer

Step 1

If you are not an established Chiropractic patient you will need to complete the Health History Questionnaire. Once you have finished, electronically sign and submit the paperwork which will be downloaded directly into our secure server.

Please note if the new patient is a child 10 or under you will need to complete the Pediatric Patient form instead of the health history questionnaire.

Step 2

Print out and complete the Signiture Pages to bring to your first appoitment.

Step 3

Complete the Function Assessment Questionnaire online. This will take approximately 30-40 minutes. You will need to put in our Practitioner ID which is #91661929

Financial information is availible here

Please refer here for more information about The Wellness Way.

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