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In order to serve you best, we need specific information about you. Please read through the descriptions below to find the packet that best relates to your condition, or call our office so that one of our friendly staff members can direct you to the correct paperwork. It’s best if you can complete the paperwork in the comfort of your home before coming to your visit with any of our doctors. If you are not able to do this, please arrive at least 20 minutes prior to your appointment time and we will provide the forms to you in person.

Please complete this packet if you are coming in for a general chiropractic complaint (such as neck pain, back pain, limb pain, heachaches, disc problems, etc.).

Please complete this packet if you are coming in for any neurological complaint other than dizziness/vertigo or developmental issues.
Use the NEW PATIENT - VESTIBULAR packet if you have dizziness/vertigo.
Use the NEW PATIENT - DEVELOPMENTAL packet if you have developmental issues.

Please complete this packet if you are coming in for a neurological issue and are having symptoms related to vertigo (such as dizziness, fainting, and spinning sensations).

Please complete this packet if you are coming in for a developmental issue (such as ADD, ADHD, Dyslexia, Autism, or learning or speech problems).

Please complete this packet if you are a current patient of Seacrest Health and Wellness and are scheduled for a Re-Evaluation visit to assess your progress.

Please complete this packet if you have already been a patient of Seacrest Health and Wellness in the past and are returning after more than a year.
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