Patient Forms

Patient Forms

Upon entering our office, our receptionist will  welcome you as a member of our family.  We will request that you complete our  patient forms located in the New Patient Center. This paperwork provides us with your health history and information on your condition.

 

Intake Form
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 Authorization and Assignment of Benefits Form

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Privacy Policy Form

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Dr. Richard R. Chaney, DC
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Dr. Richard R. Chaney, DC

Chief Physician at Chaney Chiropractic Center
I have been a chiropractor in the Flint, Mi. area for over 30 years. We have a low stress, cost effective practice. We endeavor to run on time and accommodate walk-ins and drop-ins. We use short-term treatment plans and our goal is to get you out of pain and back in the game of life FAST.
Dr. Richard R. Chaney, DC
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