Align Chiropractic Event Consent Form
I understand that today’s event features one of the following wellness services: massage therapy, assisted stretching, or a posture analysis scan.
I consent to receive the featured service.
I recognize that these gentle, restorative experiences are designed to support my body’s natural movement, highlight areas that may benefit from care, and help create a personalized moment of wellness.
I acknowledge that these services are for evaluation purposes only and may help my provider assess my posture, mobility, and areas of muscular tension.
I also understand that I may decline or stop the assessment at any time
First Name
Last Name
PHONE NUMBER
EMAIL ADDRESS
Have you seen a chiropractor before?
How long ago did you last see a chiropractor?
Any specific issue you want us to address today?
Consent to be stretched today