Gray Chiropractic Health Clinic

Dr. Charlie Gray
and Dr. Jennifer Waldroup Gray
360 E International Airport Rd Ste 4
Anchorage, AK 99518

Phone: (907) 563-7700
Fax: (907) 563-7710

Adult New Patient Intake Forms (18+ years)

If you are an adult new patient, please print and complete the following three forms and bring them with you to your first appointment.

 

You will need Adobe Acrobat Reader to access this form. Get it free here.