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Call the Appointment Center (256) 830-0000 for all appointments

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Millar Chiropractic

JV New Patient Forms

Millar Chiropractic Jones Valley

2124 Cecil Ashburn Dr SE #150
Huntsville Alabama 35802
(256)713-1830
 

     Re: New Patient Forms

Instructions: Please take about 20 min and fill out your New Patient Input Form before you arrive. This will save both of us time. After you have filled out the form online please sign and submit it to us.  There is a submit form button at the end of the form.  You may print out a copy for your records if you like. 


Dr Sandy Trail, DC and Dr Greg Millar DC CCEP and the 
Staff of Millar Chiropractic Jones Valley 

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© 2002-2024 All rights reserved. Nothing may be copied or reproduced without expressed written consent. See our Notices and Disclaimers page and Terms of Use page on this website (under info tab) as they restrict your rights herein. Also please see Privacy Notice pages contained herein.

Free* Consultation - A Free consultation is just that. A 15-20 minute meeting to talk about your problems and our possible solutions. It is up to YOU to determine if you can receive Free* services. Some insurance do not allow Free services. No Exams preformed at the Free consultation. No Chiropractic treatment or adjustments given at the Free consultation. Should the person receiving the Free* services as outline above be accepted as a patient of Millar Chiropractic then additional regular charges for treatment will be incurred in individual cases as needed for related services. This offer only to new consultations and does not apply to existing patients, personal injury, or workers comp consultations. Cash value of Free* consultation $0.01.

For all services, results vary patient to patient in individual cases. No guarantee is made for services performed. No warranty is made on supplements, over the counter purchases or durable medical equipment. We make no claim or representation that the services provided by Millar Chiropractic or Millar Chiropractic Clinics or its doctors are better than or superior to the services of other doctors, services of other clinics or we have superior equipment.

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