Office Forms

PAPERWORK INSTRUCTIONS

  • Please fill out forms completely in blue or black ink only.
  • ALL NEW PATIENTS need to fill out the NEW PATIENT INTAKE FORM.
  • If your treatments are covered by an AUTO ACCIDENT CLAIM also fill out the AUTO ACCIDENT FORMS.
  • If your treatments are covered by a WORKERS COMPENSATION CLAIM also fill out the WORKERS COMP FORMS.
  • If the patient is UNDER THE AGE OF 18, then a parent or guardian must also fill out the CONSENT TO TREAT A MINOR FORM.

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Office Hours

Find Out When We Are Open

Dean's Fitness Center

Monday:

Closed

Tuesday:

9:00 am-7:00 pm

Wednesday:

Closed

Thursday:

9:00 am-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Webb's World of Fitness

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed

COCO CHIROPRACTIC ASSOCIATES, LLC

Monday:

9:00 am-7:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-7:00 pm

Thursday:

Closed

Friday:

9:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed