Click Link Below to fill out our New Patient Intake Form

                                                                         
                                                                   https://intake.mychirotouch.com/en-US/?clinic=GCOI0001

*Please use Google Chrome or Firefox, Internet Explorer does not load correctly

We accept most major insurance plans. We can help you with the details.

Our office uses an email based intake form. Please contact our office to schedule an appointment. You may do so by email or phone. Please provide us with your name, date of birth, zip code and a current email address so we may send you a link to our New Patient Intake Form.