ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

I have been given a copy of (Chiropractic and Wellness Center)'s Notice of Privacy Practices ("Notice"), which describes how my health information is used and shared. I understand that (Chiropractic and Wellness Center) has the right to change this Notice at any time. I may obtain a current copy by contacting Chiropractic and Wellness Center Privacy/Security Official, or by visiting the (Chiropractic and Wellness Center) web site.

My signature below acknowledges that I have been provided with a copy of the Notice of Privacy Practices:


Thank you for taking the time to fill out this form.

HOURS OF OPERATION

Our Regular Schedule

Monday

8:30 am - 1:00 pm

2:00 pm - 7:00 pm

Tuesday

12:00 pm - 6:00 pm

Wednesday

8:30 am - 1:00 pm

2:00 pm - 7:00 pm

Thursday

8:30 am - 1:00 pm

2:00 pm - 7:00 pm

Friday

8:30 am - 2:00 pm

Saturday

7:00 am - 12:00 pm

Sunday

Closed

Monday
8:30 am - 1:00 pm 2:00 pm - 7:00 pm
Tuesday
12:00 pm - 6:00 pm
Wednesday
8:30 am - 1:00 pm 2:00 pm - 7:00 pm
Thursday
8:30 am - 1:00 pm 2:00 pm - 7:00 pm
Friday
8:30 am - 2:00 pm
Saturday
7:00 am - 12:00 pm
Sunday
Closed

Locations

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CONTACT US TODAY

We look forward to hearing from you