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Grafton Acupuncture & T.C.M
Campbell Kenneally Chiropractic
Grafton Acupuncture & T.C.M
Campbell Kenneally Chiropractic
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    • Home
    • Services
      • All Treatment Options
      • Acupuncture
      • Cupping
      • Chinese Herbal Medicine
      • Fertility
      • Chiropractic Services
    • Products
      • Phytocopia
      • Comfrey Balm
      • Happy Bone Products
      • Holy Shingles Balm or Oil
      • Growing Pains Balm
      • Super Lip Balm
    • Shop
    • Book Now
    • About
    • Interesting Info
    • FAQ
    • Forms
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  • Home
  • Services
    • All Treatment Options
    • Acupuncture
    • Cupping
    • Chinese Herbal Medicine
    • Fertility
    • Chiropractic Services
  • Products
    • Phytocopia
    • Comfrey Balm
    • Happy Bone Products
    • Holy Shingles Balm or Oil
    • Growing Pains Balm
    • Super Lip Balm
  • Shop
  • Book Now
  • About
  • Interesting Info
  • FAQ
  • Forms
  • Contact

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  • Orders
  • My Account
  • Sign out


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New Patient Forms:

To expedite your first appointment, we encourage you to download and complete the New Patient Form in advance.


Fertility Patients:

If you're seeking fertility treatment, please also download and complete the Relevant Fertility Form (if applicable).


Printing and Completion:

Both forms can be printed double-sided for your convenience.  

While completing the forms may take some time, it allows us to focus on your individual needs during your first visit.


Bringing the Forms:

You can either bring the completed forms with you to your appointment or email beforehand.


We look forward to meeting you!

New Patient Form - Adult (pdf)

Download

Female Fertility Form (pdf)

Download

Male Fertility Itake Form (pdf)

Download

BBT CHART (pdf)

Download

New Patient Form Chiropractic

Please download, print and complete this form and bring with you to your first appointment. 

Filling it out beforehand allows us to review your medical history and concerns efficiently.


Please wear loose-fitting clothing to your appointment.

Loose clothing allows for easier examination and potential adjustments during your chiropractic appointment.

Campbell Patient Case History (pdf)

Download

Daleth Traditional Chinese Medicine

17-19 Prince Street, Grafton New South Wales 2460

0413 387 079

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