Adolescent and Child Questionnaire

Please fill out the form below or print the Printable PDF Child Intake Form and scan your completed form and email to frontdesk@midatlanticclinic.com or bring into our office on your child’s first visit.

 

Mid Atlantic Chiropractic Center

Chiropractors located in Frederick County, Frederick, MD

Mid Atlantic Chiropractic Center is a top-ranked provider of chiropractic care center for patients of all ages, employing hands-on techniques and state-of-the-art technology to assess and treat a broad array of medical conditions. At Mid Atlantic Chiropractic Center in Frederick, MD, we offer holistic, patient-centered chiropractic care for neck pain, back pain, sciatica, herniated discs, and migraines, as well as pediatric chiropractic care and posture corrections for adults and children. Mid Atlantic Chiropractic Care welcomes new patients, give us a call today!

Our Doctors    Our Staff    Events    Why Us?    Career Opportunities   Mid Atlantic Gives Back    News    Services & Techniques

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Mid Atlantic Chiropractic Center

Mid Atlantic Chiropractic Center is a top-ranked provider of chiropractic care center for patients of all ages, employing hands-on techniques and state-of-the-art technology to assess and treat a broad array of medical conditions. At Mid Atlantic Chiropractic Center in Frederick, MD, we offer holistic, patient-centered chiropractic care for neck pain, back pain, sciatica, herniated discs, and migraines, as well as pediatric chiropractic care and posture corrections for adults and children. Mid Atlantic Chiropractic Care welcomes new patients, give us a call today!

Our Doctors    Our Staff    Events    Why Us?    Career Opportunities   Mid Atlantic Gives Back    News    Services & Techniques


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Mid Atlantic Chiropractic Center
7196 Crestwood Boulevard
Suite 100
Frederick, MD 21703