{"id":84,"date":"2018-09-21T04:23:22","date_gmt":"2018-09-21T04:23:22","guid":{"rendered":"https:\/\/ch.gigabit.com\/?page_id=84"},"modified":"2024-01-22T15:03:23","modified_gmt":"2024-01-22T22:03:23","slug":"forms","status":"publish","type":"page","link":"https:\/\/cornerstonehealingutah.com\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"

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Forms<\/strong><\/h1>\n

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Please print this page, fill it out, and bring it with you to your first appointment.<\/span><\/p>\n

[\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Child New Patient Form” url=”https:\/\/cornerstonehealingutah.com\/wp-content\/uploads\/Child-Chiropractic.pdf” use_icon=”on” font_icon=”||divi||400″ _builder_version=”4.19.5″ header_text_align=”center” text_orientation=”center” global_colors_info=”{}”]<\/p>\n

To be completed by a parent. Parents please print this, fill it out, and bring it with you for your child’s exam.<\/p>\n

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Please print this page, fill it out, and bring it with you to your first appointment.<\/span><\/p>\n

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\n[\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ prev_background_color=”#ffffff” admin_label=”Footer” _builder_version=”4.6.6″ background_color=”#316942″ custom_padding=”50px||0||false|false” top_divider_style=”wave2″ top_divider_height=”60px” top_divider_repeat=”0.5x” bottom_divider_style=”clouds2″ bottom_divider_color=”rgba(255,255,255,0.08)” bottom_divider_height=”600px” bottom_divider_flip=”vertical” global_module=”560″ global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ width=”100%” max_width=”1080px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ text_font=”Montserrat||||||||” header_font=”||||||||” header_2_font=”Montserrat|300|||||||” header_2_text_align=”center” header_2_font_size=”50px” header_2_line_height=”1.4em” text_orientation=”center” background_layout=”dark” header_2_font_size_tablet=”” header_2_font_size_phone=”30px” header_2_font_size_last_edited=”on|phone” header_2_line_height_tablet=”1.4em” header_2_line_height_phone=”” header_2_line_height_last_edited=”on|desktop” global_colors_info=”{}”]<\/p>\n

Helping you Heal is our Mission.<\/h2>\n

 <\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ admin_label=”Content Area” _builder_version=”4.16″ width=”100%” max_width=”1080px” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”(801) 451-6010″ use_icon=”on” font_icon=”||divi||400″ icon_color=”#2f8cff” image_icon_background_color=”#ffffff” icon_placement=”left” image_icon_width=”16px” _builder_version=”4.16″ header_font=”Montserrat||||||||” header_text_color=”#ffffff” header_font_size=”20px” header_line_height=”1.7em” image_icon_custom_padding=”8px|8px|8px|8px|false|false” border_radii_image=”on|100%|100%|100%|100%” icon_font_size=”16px” use_circle=”on” circle_color=”#ffffff” global_colors_info=”{}” image_icon_background_color__sticky_enabled=”#7EBEC5″ image_icon_background_color__sticky=”#7EBEC5″][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Send Us A Message” url=”https:\/\/cornerstonehealingutah.com\/contact-form\/” use_icon=”on” font_icon=”||divi||400″ icon_color=”#2f8cff” image_icon_background_color=”#ffffff” icon_placement=”left” image_icon_width=”16px” _builder_version=”4.16″ header_font=”Montserrat||||||||” header_text_color=”#ffffff” header_font_size=”20px” header_line_height=”1.7em” image_icon_custom_padding=”8px|8px|8px|8px|false|false” border_radii_image=”on|100%|100%|100%|100%” icon_font_size=”16px” use_circle=”on” circle_color=”#ffffff” locked=”off” global_colors_info=”{}” image_icon_background_color__sticky_enabled=”#7EBEC5″ image_icon_background_color__sticky=”#7EBEC5″][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”1353 N 1075 W #1 Farmington, Utah 84025″ use_icon=”on” font_icon=”||divi||400″ icon_color=”#2f8cff” image_icon_background_color=”#ffffff” icon_placement=”left” image_icon_width=”16px” _builder_version=”4.16″ header_font=”Montserrat||||||||” header_text_color=”#ffffff” header_font_size=”20px” header_line_height=”1.7em” image_icon_custom_padding=”8px|8px|8px|8px|false|false” border_radii_image=”on|100%|100%|100%|100%” icon_font_size=”16px” use_circle=”on” circle_color=”#ffffff” locked=”off” global_colors_info=”{}” image_icon_background_color__sticky_enabled=”#7EBEC5″ image_icon_background_color__sticky=”#7EBEC5″][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”HOURS” use_icon=”on” font_icon=”||divi||400″ icon_color=”#2f8cff” image_icon_background_color=”#ffffff” icon_placement=”left” image_icon_width=”16px” _builder_version=”4.16″ _module_preset=”default” header_font=”Montserrat||||||||” header_text_color=”#ffffff” header_font_size=”20px” body_font=”Montserrat||||||||” body_font_size=”20px” image_icon_custom_padding=”8px|8px|8px|8px|false|false” background_layout=”dark” border_radii_image=”on|100%|100%|100%|100%” icon_font_size=”16px” use_circle=”on” circle_color=”#ffffff” global_colors_info=”{}” image_icon_background_color__sticky_enabled=”#7EBEC5″ image_icon_background_color__sticky=”#7EBEC5″]<\/p>\n

Monday \u2013 Friday\u00a0 \u00a0 \u00a08:30 a.m. \u2013 5:00 p.m.<\/p>\n

Closed for Lunch\u00a0 \u00a0 12:30 p.m. \u2013 1:30 p.m.<\/p>\n

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