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Get This Clinic Is Owned And Operated By Gallo Chiropractic, Pc

Arding the doctor s objectives pertaining to my care have been answered to my complete satisfaction. I therefore accept all chiropractic care provided to me at this location or any other clinic under The Joint Chiropractic ( The Joint ) trade name based upon these guidelines. g (Patient Signature) (Date) CONSENT TO EVALUATE AND TREAT A MINOR CHILD I, of (Parent or Legal Guardian) (Child/(ren) Name) have read and fully understand the terms of acceptance and hereby grant permis.

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