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Burdette Family Chiropractic & Wellness Center
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304-363-4006

PATIENT FORMS FOR BURDETTE FAMILY
CHIROPRACTIC & WELLNESS CENTER

Patient History Form

Quadruple Visual Analogue Scale Form

Back Index Form

Neck Index Form

Privacy Notice

Burdette Family Chiropractic & Wellness Center

CONTACT INFORMATION

Dr. Lawerence W. Burdette III, D.C.
Burdette Family Chiropractic
& Wellness Center
ADDRESS
618 Fairmont Ave
Fairmont, WV 26554
PHONE
304-363-4006

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