New Patient Information

Download our paperwork for your first visit
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Patient Forms

Please download the appropriate form for each patient, print the form(s), fill out the requested information and bring the completed forms to your appointment.

Adult Patient Paperwork
Pediatric Intake 0-5
Pediatric Intake 6-12

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Cornerstone Family Chiropractic

2144 Declaration Drive
Independence, KY 41051

(859) 815-9371

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All materials on this website including but not limited to text, copy, images and photographs are provided for informational purposes only. This website and related materials are not intended to be a substitute for professional health advice, diagnosis, or treatment. | Good Faith Estimate notice

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