Atlas Chiropractic
141 Shop City Plaza, Syracuse, NY
Call us at 315-414-0224

Child Patient Form


If you are a patient age 17 or younger, you are considered an child patient. You will need to be accompanied by your parent or legal guardian for your first visit. Please print and fill out this form to bring to your first visit. If you have any questions at all, please call us at 315-414-0224. We would be happy to answer any questions you have about the forms, our policies, or procedures.



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