BROUSE FAMILY CHIROPRACTIC & CLINICAL NUTRITION

  1104 W. High St., Ebensburg, PA 15931     814.472.9355

ADULT AND CHILDREN'S HEALTH HISTORY

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?




















AUTOMOBILE ACCIDENT

If your health issue is the result of a car accident, we need some additional information.






WORKER'S COMPENSATION

If your injury is the result of an injury from work, this information will help us help you.






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ONLINE FORMS