Chiropractic Patients
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All Patients that have currently been seen at Midland Sports Rehab MUST complete a new intake based on the following: New Injury, Seeing a New Provider (such as new Massage Therapist, Trainer, or Doctor), Patient hasn’t been seen in over 3 months. Completing this Patient Intake will ensure that all patients are seen in a timely manner upon arrival. Patients without an updated patient intake must complete the intake prior to seeing the provider for their scheduled appointment.

Patient Intake Form