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Online Forms

Please print and return at the time of your appointment. We will be happy to answer questions when the forms are returned. If you are a current patient coming in for a new complaint or injury please print the pain questionnaires related to your complaint.  Thank you!

small pdf icon  PATIENT REGISTRATION

small pdf icon  Authorization to Treat a Minor


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Western Reserve Chiropractic Acupuncture and Orthopedics | (330) 757-1151