23280 Farmington Rd. Farmington, MI 48336
Office: (248) 477-1492 Fax: (248) 474-9099
Instructions:
Please print and complete any forms below, that are appropriate for your visit, and bring them on your visit to our office. If you are unable to print these forms, please arrive 15 minutes prior to your appointment time to complete them in our office.
Thank you.
(Please print this form)
(For anyone getting a massage in our office for the first time)
(For anyone starting decompression in our office for the first time)
(For anyone starting PEMF in our office for the first time)
(Please print and complete both forms below if you have been involved in an auto accident and/or plan to file an auto claim)
(Please print and complete both forms below if you have been involved in a work accident and/or plan to file a workman's compensation claim)
Covid Policy... CFC Remains Committed to Your Health and Safety...
Based on new MDHHS and MIOSHA guidelines updated 1/2022, wearing of face masks in this clinic is optional and we will supply a mask for you if requested.
Cromwell Family Chiropractic | No Surprise Act 2022
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