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Ward Family Chiropractic Ward Family Chiropractic
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Chiropractor New Patient Forms WFC
   
  New Patient Forms  
  Thank you for filling out these forms prior to your visit with us.  This will save you some time by not having to fill them out at our office.      You must be able to view PDF files on your computer to view our catalogs. If you Get Adobe Reader to View our Documentsdo not have Adobe Reader, you can Download the most recent version of an Adobe Acrobat PDF Reader HERE.  
 
   
Click to Download all Forms together to print out
   
or Click to Download each Form individually as needed
   
New Patient Form - page 1 New Patient Form - page 2
   
Payment Agreement Privacy Policy-HIPAA
   
Assignment of Payment Terms of Acceptance
   
Notice of Privacy Practices
You do not need to print or sign this, but can click on the image to open the PDF document to read it online.
 


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  WARD FAMILY CHIROPRACTIC  
  Phone: (423) 440-9470  
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WFC TENNESSEE WFC
  104-A Broad Street
Elizabethton, Tennessee 37643
Monday, Wednesday, Friday
8:30 am - 12:00 pm
2:00 pm - 6:00 pm
 
     
  NORTH CAROLINA  
  80 Hemlock Dr., Suite C
Bakersville, North Carolina 28705
Tuesday:
Call for current hours of operation
Thursday:
8:00 am - 6:00 pm
Saturday:
By Appointment Only
 
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We strive to educate patients in their matters to help ensure the best outcome in their Chiropractic care.

We invite you to contact us regarding your health concerns.

When you call, Erica, my assistant, will help you arrange a time when we can talk.

My guarantee to you is:
•  I will treat you with respect

•  I will guard your privacy

  I will never mislead or be dishonest with you in any manner

Thank you for your time while reading the information on our website.

I appreciate the opportunity to explain these matters to you and hopefully will have further educated you about Chiropractic care over and above any information you have gained during your journeys in seeking out your health options.
 
Yours in Health,
Dr. Roger L. Ward
 
 



 
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WFC Copyright © , Ward Family Chiropractic & Tri-Cities Web Solutions, All Rights Reserved WFC
  Serving Tennessee: 104-A Broad Street, Elizabethton, TN 37643  
  Serving North Carolina: 80 Hemlock Dr., Suite C, Bakersville, NC 28705  
 
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