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Lott Chiropractic Clinic, P.C. offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

New Patient Intake Form - Required

This lets us know the history and current state of your health.  Please complete this form prior to your appointment time.  E-sign and click the Submit button to transfer your information to our Clinic.

HIPAA Privacy Policy - Required (Updated 1/1/2015)