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RUSSELL CHIROPRACTIC HEALTH CENTER, P.C. Dr. Hubert W. Russell, Jr. (734) 284-9800 |
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![]() 1. Click the link below* 2. Print the form on your own printer 3. Fill out the form and bring your information with you for your scheduled appointment. Form Link: Patient Information Form in PDF format *Note: You must have Adobe Acrobat Reader to view the PDF versions of our forms. If you don't already have Acrobat Reader, the free software is available at the Adobe web site. Free Download of Adobe Acrobat Reader |
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| RUSSELL CHIROPRACTIC HEALTH CENTER, P.C. 15195 Allen Road • Southgate, MI 48195 (734) 284-9800 • Fax (734) 284-9088 |