Patient Testimonial

Thank you for agreeing to complete a testimonial regarding the care you have received from either Dr. Joe or Dr. Carolyn Clauss.  Please respond to the questions below as thoroughly and honestly as possible.  The information you provide on this form will be condensed in order to create a comprehensive yet concise testimonial for use by our practice to inform and encourage other patients.  Dr. Joe and Dr. Carolyn appreciate your willingness to communicate the many benefits of chiropractic care.  Thank you!

* 1. Please provide the following information:

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