petoskey, michigan, chiropractor provides quality chiropractic care and wellness services for back pain, sports injuries, spinal adjustments, and a wide variety of other therapies.
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Form Name Form File

 
NEW PATIENT FORMS
NEW PATIENT New Patient Outline Cover.pdf
FIRST PAGE New Patient Outline 1.pdf
SECOND PAGE New Patient Outline 2.pdf
THIRD PAGE New Patient Outline 3.pdf
CONSENT FOR PURPOSE OF TREATMENT Consent for Purposes of Treatment.pdf
 
PARENT/CHILD HEALTH QUESTIONNAIRE
FIRST QUESTIONNAIRE Parent-Child Health Questionnaire 1.pdf
SECOND QUESTIONNAIRE Parent-Child Health Questionnaire 2.pdf
 
Beno Clinic Chiropractic Center, P.C., along with all information provided, is for educational purposes only and is not an attempt to replace the need to seek healthcare services or to provide specific healthcare advice. We strongly encourage users to consult with their chiropractor or other qualified healthcare professionals for personal healthcare attention and answers to personal questions.
Beno Clinic Chiropractic Center, P.C.
8983 M-119 (P.O. Box 479)
Petoskey, MI 49770
www.benoclinic.com
Dr. James J. Beno
E-Mail: benoclinic@benoclinic.com
Phone: 231-347-4445
 
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