BANKS CHIROPRACTIC & WELLNESS CENTER
  • Home
  • Shop
    • Spinelife Store
    • Fullscript
    • Xymogen
    • Purity Coffee
    • Relax Saunas
    • Sunlighten Sauna
    • Red Light Therapy
    • ProLon >
      • ProLon
    • Water Filtration & Air Purification
    • Get Healthy Store
    • Vitalitus
    • Bio Posture
    • Wellevate
  • Services
    • Spinal Decompression
    • Chiropractic >
      • Computerized Chiropractic Care
      • Laser Therapy
      • Cold Compression Thearpy
    • Functional Medicine >
      • Tele-Health
      • Imago
    • Knee On Trac
    • PROBalance 360
    • Pain Management & Neuropathy
    • Holistic Pain Management
    • Vitamin Boosters
    • Orthotics
  • Diagnostic Testing
    • 3x4 Genetics
    • TruDiagnostic
    • Ezra MRI
    • IgG Food Explorer
    • GI Microbial Assay
    • Adrenocortex Stress Profile
    • CDSA 2.0
    • NutrEval® Plasma
    • Small Intestinal Bacterial Overgrowth (SIBO)
    • KBMO Diagnostics
    • Boston Heart Diagnostics
    • Genomind
    • DUTCH COMPLETE - Hormone Testing
  • COVID-19
  • Relax Saunas
  • BioPosture
  • NEWS
    • Testimonials
    • Media
    • Blog
  • Seed Milk & Juicing
  • Contact
  • FORMS
  • Home
  • Shop
    • Spinelife Store
    • Fullscript
    • Xymogen
    • Purity Coffee
    • Relax Saunas
    • Sunlighten Sauna
    • Red Light Therapy
    • ProLon >
      • ProLon
    • Water Filtration & Air Purification
    • Get Healthy Store
    • Vitalitus
    • Bio Posture
    • Wellevate
  • Services
    • Spinal Decompression
    • Chiropractic >
      • Computerized Chiropractic Care
      • Laser Therapy
      • Cold Compression Thearpy
    • Functional Medicine >
      • Tele-Health
      • Imago
    • Knee On Trac
    • PROBalance 360
    • Pain Management & Neuropathy
    • Holistic Pain Management
    • Vitamin Boosters
    • Orthotics
  • Diagnostic Testing
    • 3x4 Genetics
    • TruDiagnostic
    • Ezra MRI
    • IgG Food Explorer
    • GI Microbial Assay
    • Adrenocortex Stress Profile
    • CDSA 2.0
    • NutrEval® Plasma
    • Small Intestinal Bacterial Overgrowth (SIBO)
    • KBMO Diagnostics
    • Boston Heart Diagnostics
    • Genomind
    • DUTCH COMPLETE - Hormone Testing
  • COVID-19
  • Relax Saunas
  • BioPosture
  • NEWS
    • Testimonials
    • Media
    • Blog
  • Seed Milk & Juicing
  • Contact
  • FORMS
Picture

 Banks Chiropractic & Wellness Center Intake Forms

Chiropractic & Spinal Decompression Intake Forms

Chiropractic Intake Form 1
File Size: 357 kb
File Type: pdf
Download File

Chiropractic Intake Form 2
File Size: 552 kb
File Type: pdf
Download File

Health History Form 3
File Size: 507 kb
File Type: pdf
Download File

    REQUEST AN APPOINTMENT

Submit

Location

What Our Clients Are Saying

"Hey Doc!
 I just wanted to let you know that the treatment you gave me yesterday was very fruitful. By the end of the day I had more than a 50% reduction in pain and was starting to get better muscle balance and range of motion. Slept well last night, got up and went to work without any belts or cane. It was no doubt a breakthrough. Healing seems to be in motion now.
So I am writing you this just let you know that I really appreciate your "going the extra mile" and using various modalities to relieve my pain. I feel a whole lot better now (not perfect but substantially better) and I simply want to affirm the healer.
So thanks again for your intervention."

Contact Us

    Subscribe Today!

Submit