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Peak Performance Chiropractic Clinic Patient Intake Form File # Patient Information Mr. Mrs. Ms. Dr. (Circle One) Sex M F Date Name DOB (dd/mm/yyyy) / / Home Address Town PO Box 911# Apt # Postal.

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(KY-roh-PRAK-tik THAYR-uh-pee) A type of therapy in which the hands are used to manipulate the spine or other parts of the body. Sometimes, heat and ice, relaxation techniques, exercise, and other treatments are also used.

Drs. Jason and Vanessa Helfrich opened 100% Chiropractic in August 2004 and have been expanding across the nation. At 100% Chiropractic, our mission is to educate the world on what true health is, one patient at a time.

Every year, between 30 and 40 million people are treated by chiropractors. 10% of the American populace, both men and women, see chiropractors each year.

Currently, we are a family of 85+ offices (as of August 2022), and opening more on a daily basis.

Chiropractors in the US - Number of Businesses 2004–2029 YearValueFeb 1, 201666,254Feb 1, 201765,924Feb 1, 201866,125Feb 1, 201966,38112 more rows • Jan 25, 2023

Chiropractic care improves your mental health, neurological health, muscle strength, flexibility, and range of motion. It promotes recovery, improves immune response, provides you with more energy, and improves your mood. A chiropractor primes your body to function at its best.

Geographic profile for Chiropractors: StateEmployment (1)Location quotient (9)Florida3,3501.53Texas2,5200.81California2,3500.56Illinois2,0301.421 more row • Mar 31, 2022

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232