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New Patient First Visit Paperwork

Please download the paperwork, print it, fill it out, and bring it in with you to your first appointment.

Click Here To Download And Print The Paperwork

 

Poelking Chiropractic Wellness & Physical Therapy
2660 Woodman Center Court, Dayton Ohio 45420
Phone 937-299-2900     Fax 937-299-9640
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