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

Pediatric New Patient Paperwork (0-17 years)

If you are a minor or will be bring a minor for thier first appointment, please print and complete the following forms and bring them with you to your first appointment. Please note, a legal guardian must complete all forms.

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