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Red-Rose Chiropractic is pleased to offer our patient forms online so they can be completed in the convenience of your own home or office. Follow the link for our online and paperless version or print and fill out our printable version and bring it with you to maximize your facetime with Dr.Harder.


Online Initial Intake Form: https://intake.mychirotouch.com/?clinic=RCC0001

*Make sure to submit your form when you finish

Printable Initial Intake Form: /clients/2459/documents/Initial_Intake_Form.pdf

Medical Release Form: http://rrccps.com/clients/2459/documents/Medical_Release_Authorization.pdf



 

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We strive to provide complete care for our patients. Learn more about all the services we provide.
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Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.