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602-956-8222
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Exclusive Offer

Back-Health Chiropractic & Inner Radiance Wellness offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Registration Forms - CHIROPRACTIC CARE

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


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Featured Services

Services
We offer chiropractic & wellness care, massage therapy, natural aesthetics & organic facials.
Gift Certificate
Online gift certificate purchasing is currently not available. Please contact us to purchase a gift certificate for any of our services, including massage, organic facials, spa packages, chiropractic, and wellness services.
V.I.P. Club
Join our VIP club and start taking care of YOU with regular chiropractic & wellness care, massage therapy, organic facials, and natural aesthetics services at affordable prices.