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Patient Intake Forms

Download, print and fill out our paperwork in the comfort of your home.

Click the download button below to download our paperwork as a PDF Document and simply bring them with you to your next visit with Dr. Kingwater.

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Have A Question About Being a New Patient? 315-768-8284

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Jeramy Freeman

I just wanted to write you a letter of thanks. As you know I live a very active lifestyle. I have been a professional in three different sports, bodybuilding, extreme dodgeball, and put-put golf. I’ve broken bench press records, Won strongman events and pushed my body to its limits. Over the years I have been to many chiropractors. In that time I’ve never encountered an individual with the knowledge of the workings of the human body and also a sincere passion for helping people as you. On numerous occasions I have been in rough shape and needed your assistance not only in the areas of spinal adjustment but also muscle strains, pulls, joint pain and list goes on. Many times you would get me in when I didn't even have an appointment. I’ve always left your office feeling better than when I came in. You are great at what you do! I have always and will continue to recommended you to anyone who is suffering with an injury or has pain.Thank you for making a difference.

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