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

Contact Us

Cornerstone Family Chiropractic

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2144 Declaration Drive
Independence, KY 41051

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(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