Please download, print, and fill out all necessary new patient intake forms

This will ensure that you get the best treatment for your specific problem + determine proper insurance coverage and finding the best payment plan available to you

 
 

Application for care intake form

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GENERAL APPLICATION FOR NEW PATIENT INTAKE FORM.

Auto injury intake form

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FOR ALL NEW PATIENTS WITH AUTO RELATED INJURIES

Pediatric care Intake form

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PEDIATRIC CARE INTAKE FORM IS FOR ALL PATIENTS BELOW 18-YEARS OLD

 
 
Dr. Weeks performs an all encompassing life transforming treatment.  With direct response feedback testing you can feel yourself getting stronger right there on his adjustment table.
                                                         - Patient, David R.