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FORMS

Please print and complete the appropriate form(s) prior to your initial visit to the office.

Chiropractic Intake Form

Functional Medicine Intake Form

MAF

(Metabolic Assessment Form)

NTAF Form

(Neurotransmitter Assessment

CNNQ Form

(Child Neurotransmitter

and Nutrition Assessment)

BHNAF Form

(Brain Health and Nutrition Assessment)

90 Launis Street, Pittsboro, NC 27312

919-542-0325

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