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104 East Main Street, Ardmore, OK 73401, US

New Customer Form — Proactive Chiropractic in Ardmore, OK

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Chiropractic Terms Of Acceptance

When a person seeks chiropractic care and that person is accepted for such care, it is essential for the chiropractor and patient/practice member to be working toward the same goal. Chiropractic care has only one objective: remove nerve interference to allow the body to fully express life. It is important that each person involved understand both the objective and the method used to attain it. This will prevent any confusion or disappointment. The following Definitions will help you understand the objective of your Chiropractor. Chiropractic Adjustment: A Chiropractic adjustment is a method of specific application of forces to the spine to facilitate the body's correction of vertebral subluxation. Health: A state of optimal phy sical, mental, and social well-being, not merely the absence of disease or infirmity. Our ultimate goal is to increase your body's expression of life (health) by correcting vertebral subluxation. Vertebral Subluxation: A misalignment of one or more of the 24 vertebra in the spinal column which causes an alteration of nerve function and interference to the transmission of mental impulses, resulting in a lessening of the body's innate (natural) ability to express its maximum health potential. We do not offer to diagnose or treat any disease or condition other than vertebral subluxation. However, if during the course of a chiropractic spinal examination, we encounter non-chiropractic or unusual findings, we will advise you. If you desire advice, diagnosis or treatment for those findings, we will recommend that you seek the services of a health care provider that specializes in that area. Regardless of what the disease or condition is called, we do not offer to treat it. Nor do we offer advice regarding treatment prescribed by others. OUR ONLY OBJECTIVE is to eliminate major interference to the expression of the body's innate, or inborn, intelligence. Our only method is specific adjusting to correct vertebral subluxation.

Consent*

I have read and fully understand the above statements. The information I have provided above is true to the best of my knowledge. I hereby consent to chiropractic care and authorize Dr. Lee Grant to provide chiropractic services. NO GUARANTEE NOR ASSURANCE HAS BEEN MADE TO ME concerning results of the procedures.

Book Your Appointment

Step 1

Complete the quick new patient form below

Step 2

On the next page, pay the $50 deposit to secure your appointment.

Step 3

On the next page, schedule your appointment using our easy calendar.

Step 1: Intake form

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Chiropractic Terms Of Acceptance

ProActive Chiropractic Office Hours

	Morning	Afternoon
Monday:	9 am – 1 pm	3 pm – 6 pm
Tuesday:	CLOSED	3 pm – 6 pm
Wednesday:	9 am – 1 pm	3 pm – 6 pm
Thursday:	CLOSED	CLOSED
Friday:	9 am – 1 pm	3 pm – 6 pm