New Patient Intake Form

Owner / Caregiver

Please provide the information below as completely as possible. All information is strictly confidential.

CONTACT US FOR AN APPOINTMENT AT [email protected] OR (802) 875-5445

Hours

Please call or email us between the hours of 8am-5pm, Monday-Friday. If we are on the road or on the phone assisting other customers your call or email will be returned as quickly as possible. Emergency calls will be returned promptly.

chiropractic spine

WHERE IS YOUR PAIN?

Learn how we can help with your pain