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Ragon Chiropractic Health Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Update & New Patient Form (Submit Online) This form is required for all patients who have not been treated in the past 6 months or new to our practice. If you are a minor, this form needs to be submitted by a parent/guardian. You can submit ONLINE.
Update & New Patient Form (Print Only) This form is required for all patients who have not been treated in our office in the past 6 months. You can print, fax or email* your submission.
*Email may not be secure. Print, fax and filling out in our office are alternative options.