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Work Injury New Patient Paperwork

Imagine Wellness Chiropractic Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

Monday
9:00am - 11:00am
3:00pm - 6:00pm


Tuesday
3:00pm - 6:00pm


Wednesday
9:00am - 11:00am


Thursday
9:00am - 11:00am
3:00pm - 6:00pm


Friday
Closed


Saturday
Closed

Imagine Wellness
Chiropractic Center

822 East Union Hills Drive #22
Phoenix, AZ 85024
(623) 582-8951

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