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 find 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.