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Infant Intake Form

* When filling out paperwork for another person, such as your child, when it states “Please enter your name and email” please enter the PATIENT’S NAME. There will be a place in the form for the parent or guardian name.

** All patients need to arrive 5-10 minutes before their appointment time to complete registration.

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BETTER LIFE Family Chiropractic & Wellness offers the most comprehensive exam process in town; we get to the root of your concerns so we can provide the best solutions possible. Enter your information below or call (509) 464-0444 to start your BETTER LIFE today.

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