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Online Forms

Cohen Chiropractic Center offers our patient form(s) online so you can complete it in the convenience of your own home or office.


New Patient Health History Form - Required

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

Click the link below to fill out the form.

https://www.mychirotouch.com/patientintake/?clientid=DEAC0001



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