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Dr D. Muller

Family Chiropractor

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Forms for Initial Visit

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Please complete the form(s) below prior to your initial visit

  • Adult Initial Assessment Form
  • Child Initial Assessment Form

The following additional forms can be downloaded, printed, and completed to assist in your initial visit

  • Adult Low Back Pain Questionnaire
  • Adult Neck Pain Questionnaire

Announcements

Now accepting new patients at
Muller Chiropractic
* 257 Division St. Unit 102, Cobourg, ON * Book your appointment
Or call us at (289) 222 9798

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Copyright Dr D. Muller Chiropractic
  • Home
  • How chiropractic will help you
  • Forms for Initial Visit
  • Book an appointment

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