Thank you for choosing Upper Cervical Wellness Center
You can fill out the application online and print, or print and fill them out by hand. Once all four forms are completed, simply email them to admin@LearningHowtoHeal.com or fax them to (704) 882-1448, or deliver them to our office.
Chiropractic, Nutrition & Wellness Patient Intake Forms
Please print and complete your Chiropractic and Nutrition patient-forms before you come into the office.