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Print Forms and Scan & Email, Mail, Fax, or

Deliver to Bridges Prior to Your First Appointment

This packet includes the Client Pre-Evaluation Questionnaire,

the Expectations & Commitments form, and the Office Registration form.

This packet includes the Client Pre-Evaluation Questionnaire,

the Expectations & Commitments form, and the Office Registration form.

Completing the following forms prior to your first appointment is important.

 Click on each of the links below and complete all forms.

 

You can e-mail, mail,or fax them to us. You can also deliver them to the office.

The address, email address, and/or fax numbers for both the Wasilla and

Anchorage offices is in the footer below all links.

Please remember to bring a picture ID and insurance card to your first appointment. 

 

 This form helps you track your anxiety, sleep, pain, and medications.

Please start using this prior to your first appointment and bring it with you at that time. It provides valuable information to both you and your provider.

 

Holistic Health & Chiropractic

3601 Minnesota Unit B
Anchorage, Alaska 99503

Office  907.770.125
5  Fax 907.770.1256

Questions Always Welcome

Hours:

Tuesday Through Friday 10:00 a.m. - 6:00 p.m.

Closed for Lunch from 2:00 - 3:30

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