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Patient Information

For your convenience, please print and complete these patient information forms and bring them to your appointment with Dr. Miller.
Patient Paperwork
  • Welcome/Financial Policy
  • Patient Health Information
  • Patient Health Questionnaire
  • Infant-Toddler Health Questionnaire
  • HIPAA Notice of Privacy Practices
Patient Links
  • Logan College of Chiropractic
  • Marian University
  • Wisconsin Chiropractic Association
435 S. Main Street, Fond du Lac, WI 54935
920 933 3536
miller@well-adjusted.biz
Dr. Kay Miller

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