elemental medicine, we strive to help you achieve total health 
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  • Chiropractic
    • Chiropractic FAQs
    • Forms and Fees
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  • Fascial Manipulation©
    • Forms and Fees
  • Acupuncture
    • Acupuncture FAQs
    • Forms and Fees
  • Massage Therapy
    • Forms and Fees
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  • Membership
    • 30-minute standard Chiropractic Enthusiast
    • 45-minute expanded Chiropractic Enthusiast
    • 60-minute Massage Enthusiast

New Patient Registration Packet (6 pages)

These forms provide the office with all of your contact information, outlines the financial obligations and is the privacy policy and consent form.  Also included is a health history form where you can indicate your current area of complaint, as well as a brief history of your past injuries, illnesses, medications and accidents.  It is 6 pages in length.

Fees for payment in full at time of service:

Fascial Manipulation:  $85 / 60 minutes

Missed Appointments: There is a $50 charge for cancellations within 24 hours of your scheduled appointment time.


Student and Senior Discount: 25% off above price when paid in full at time of service.

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