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Call Now For Chiropractic Care: (716) 322-2004

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office, speed up your office visit, and will help us to better serve your healthcare needs. Please take a moment to completely fill out this form, and upon completion of all form categories email this to the Fuhrmann Health Center.

Click here to download our registration form.

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