
Before your first Chiropractic or Nutrition visit with Dr. Pearce, please download, print, and complete the appropriate form(s) from the links below. Filling out the paperwork thoroughly ahead of time in a relaxed atmosphere can help you focus, and save you time and stress!
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NUTRITION RESPONSE TESTING
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CHIROPRACTIC Patients (ALL forms below)
HIPPA Forms Packet (required by law to read and sign)
Injured in a car accident? Please fill out these additional forms:
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You can send the completed forms to us in one of three ways:
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The forms can be faxed to: 903-757-9390
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Bring to our office: DrPearceWellnessCare 123 Gilmer Rd Ste 3 Longview, TX 75604