DAGNAN CHIROPRACTIC
107  South Story Road, Suite C, Irving, TX  75060   - 972-986-7255 -  Email Dr. Dagnan

  PAPERWORK  
 

 

 
     
 

1. New Patient Application

 
     
 

2. Notice of Privacy

 
 

 

 
 

3. Informed Consent to Chiropractic Treatment

 

 

107 South Story Road, Suite C
Irving, TX 75060
dagnanchiropractic@yahoo.com
Phone: 972.986.7255

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