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  • Patients
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    • Patient Paperwork
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  • Functional Medicine
    • Functional Medicine
    • Prather Profile
    • GI Mapping
    • Hair Analysis
    • Functional Med Paperwork
  • Contact Us
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  • More
    • Home
    • About
      • Meet the Team
      • Vision and Mission
    • Patients
      • Your First Visit
      • Patient Paperwork
      • Testimonials
      • Doctor's Blog
    • Functional Medicine
      • Functional Medicine
      • Prather Profile
      • GI Mapping
      • Hair Analysis
      • Functional Med Paperwork
    • Contact Us
      • Contact Us
      • Schedule a Health Talk
  • Home
  • About
    • Meet the Team
    • Vision and Mission
  • Patients
    • Your First Visit
    • Patient Paperwork
    • Testimonials
    • Doctor's Blog
  • Functional Medicine
    • Functional Medicine
    • Prather Profile
    • GI Mapping
    • Hair Analysis
    • Functional Med Paperwork
  • Contact Us
    • Contact Us
    • Schedule a Health Talk

New Patient Paperwork

Revive Family Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. 

Adult New Patient Form -Click to completePediatric New Patient Form- Click to CompletePersonal Injury Questionnaire -Click to CompleteFunctional Medicine New Patient Form - Click to Complete

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October 4th @ 12pm-1pm

Dr. Courtney will be hosting a workshop at Revive Family Chiropractic on Vitamin D and elaborating on what functional medicine includes! Please reach out to us if you have questions or are interested in attending! 

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